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Mr. Christopher W Clark, LAT,ATC
Military Health Care Provider in Camp Lejuene, North Carolina
NPI 1912322694

Christopher W Clark is a Military Health Care Provider based in Camp Lejuene, NC. Christopher W Clark practices in Camp Lejuene, NC and has the professional credentials of LAT,ATC. The NPI Number for Christopher W Clark is 1912322694 and holds a License No. 2062 (North Carolina).

The current practice location address for Christopher W Clark is G544 C Street, Camp Lejuene, NC and can be reached out via phone at 910-449-0494.

Location: G544 C Street, Camp Lejuene, NC, 28542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912322694
Provider Name
Christopher W Clark
Credential
LAT,ATC
Provider Entity Type
Individual
Gender
Male
Address
G544 C Street, Camp Lejuene, NC, 28542
Phone Number
910-449-0494
Fax Number
Provider Enumeration Date
03/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
G544 C Street
City
Camp Lejuene
State
North Carolina
Zip
28542
Phone Number
910-449-0494
Fax Number
person
Provider Business Mailing Address Details
Address
G544 C Street
City
Camp Lejuene
State
North Carolina
Zip
28542
Phone Number
910-449-0494
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
2062 (North Carolina)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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