Individual
MR. CHRISTOPHER W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.
Contact information
Practice address
G544 C STREET, CAMP LEJUENE, NC 28542
(910) 449-0494
Mailing address
SOI-E P.O. BOX 20161, CAMP LEJUENE, NC 28542
(910) 449-0494
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2062
NC
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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