Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN CLARK
Active Sole ProprietorJONATHAN CLARK is a Athletic Trainer healthcare provider located in LOOKOUT MOUNTAIN, Georgia. NPI 1841696820 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LOOKOUT MOUNTAIN, GA
Registration Details
- NPI Number
- 1841696820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2014 (11.739678967632 yrs)
- Last Updated
- Nov 18, 2014
- Licenses
-
AT001654 (GA)AT0000001292 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14049 SCENIC HWYLOOKOUT MOUNTAIN, GA, 307504100Browse GA providers · Browse ZIP 30750
- Phone
- 7064191523
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.