Individual provider · Type 1 NPI

Clark Edwards

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1326403668 Active

Practice location

7331 Pawtuckett Rd
Charlotte, NC 28214-2115

Call (704) 458-1910 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326403668

Clark Edwards's National Provider Identifier is 1326403668, issued on Dec 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 30, 2015.