Jonathan Clark
Athletic Trainer · Lookout Mountain, GA
Practice location
14049 Scenic HwyLookout Mountain, GA 30750-4100
- Phone
- (706) 419-1523
NPI record
- NPI
- 1841696820
- Entity type
- Individual (Type 1)
- Enumeration date
- November 18, 2014
- Last updated
- November 18, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT001654 | GA |
| Athletic Trainer | 2255A2300X |
AT0000001292 | TN |
Mailing address
922 Federal StChattanooga, TN 37405-2931
About Jonathan Clark
Jonathan Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 14049 Scenic Hwy, Lookout Mountain, GA 30750-4100. The NPI number 1841696820 was assigned on November 18, 2014 and the record was last updated on November 18, 2014.
Jonathan Clark lists 2 licenses in the registry: #AT001654 (GA) for Athletic Trainer; #AT0000001292 (TN) 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 Jonathan Clark?
The NPI number is 1841696820.
What is the phone number of Jonathan Clark?
The phone number listed for the practice location is (706) 419-1523.
Where is Jonathan Clark located?
14049 Scenic Hwy, Lookout Mountain, GA 30750-4100.
What is the taxonomy code for Jonathan Clark?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
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.