Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN CLARK
ActiveJONATHAN CLARK is a Athletic Trainer healthcare provider located in DECATUR, Georgia. NPI 1720573447 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DECATUR, GA
Registration Details
- NPI Number
- 1720573447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2018 (8.1671766279352 yrs)
- Last Updated
- Jun 25, 2018
- License
-
AT003189 (GA)
Practice Information
- Address
-
1214 HIGHLAND LAKE CIRDECATUR, GA, 300333460Browse GA providers · Browse ZIP 30033
- Phone
- 5858572586
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KECHIA TANEKIA SEABROOKS | ATC | 1508833948 |
| MRS. VALERIE LYNNE COMPSON | MS, ATC, LAT | 1770528895 |
| ELLEN BETH KELLY | ATC | 1396776290 |
| CLAUDE MCCANTS | PT | 1255366258 |
| MR. COREY DARNELL BENNETT | MS, ATC, LAT, CFO | 1396824991 |
| MRS. ASHLEY VANCE KIRK | ATC | 1639258122 |
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.