Jonathan Clark
Jonathan Clark is an Athletic Trainer in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2018.
- Licensed in
- GA
- In the registry since
- 2018
Practice location Address checks out
1214 Highland Lake CirDecatur, GA 30033-3460
Phone: (585) 857-2586
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT003189 (GA) |
|---|
Record details
| NPI number | 1720573447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2018 |
| Last updated in NPPES | June 25, 2018 |
| Mailing address | 1214 Highland Lake Cir, Decatur, GA 30033-3460 |
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