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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RONALD CRAIG CLARK, D.C., PH.D.

Active Sole Proprietor

DR. RONALD CRAIG CLARK, D.C., PH.D. is a Rehabilitation (Chiropractor) healthcare provider located in ELLIJAY, Georgia. NPI 1356400105 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation (Chiropractor) · ELLIJAY, GA

Registration Details

NPI Number
1356400105
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2006 (19.710663743859 yrs)
Last Updated
Jul 8, 2007
License
CHIRO002251 (GA)
Sole Proprietor
Yes

Practice Information

Address
200 INDUSTRIAL BLVD
SUITE 108
ELLIJAY, GA, 305403722
Browse GA providers · Browse ZIP 30540
Phone
7066364325
Fax
7066364325
Primary Specialty
Rehabilitation (Chiropractor)
111NR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.