Individual provider · Type 1 NPI
Christopher W. Clark, L.A.T., A.T.C.
Military Health Care Provider · Camp Lejuene, NC
NPI number
1912322694
Active
Practice location
G544 C Street
Camp Lejuene, NC 28542
Mailing address
Soi-E P.o. Box 20161
Camp Lejuene, NC 28542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 2062 (NC) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Another provider at this address
About NPI 1912322694
Christopher W. Clark, L.A.T., A.T.C.'s National Provider Identifier is 1912322694, issued on Mar 4, 2014. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Camp Lejuene, NC. The record was last updated on Mar 4, 2014.