Christopher Marvin Clark, ATC

Athletic Trainer · Jacksonville, AL

Individual Active NPI

NPI number 1487297065

Practice location

700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone
(256) 782-5514
Fax
(256) 782-5546

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NPI record

NPI
1487297065
Entity type
Individual (Type 1)
Enumeration date
October 25, 2019
Last updated
October 25, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 857 AL

Mailing address

1151 Lake Forest Dr N
Southside, AL 35907-7111
Phone
(256) 613-2384

About Christopher Clark

Christopher Marvin Clark, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 700 Pelham Rd N, Jacksonville, AL 36265-1602. The NPI number 1487297065 was assigned on October 25, 2019 and the record was last updated on October 25, 2019.

Christopher Clark lists a license in the registry: #857 (AL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Christopher Marvin Clark, ATC?

The NPI number is 1487297065.

What is the phone number of Christopher Clark?

The phone number listed for the practice location is (256) 782-5514.

Where is Christopher Clark located?

700 Pelham Rd N, Jacksonville, AL 36265-1602.

What is the taxonomy code for Christopher Clark?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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