Dr. Ronald Craig Clark
Rehabilitation Chiropractor
200 Industrial Blvd Suite 108
Ellijay
, Georgia 30540-3722
Dr. Ronald Craig Clark
Rehabilitation Chiropractor
200 Industrial Blvd Suite 108
Ellijay
, Georgia 30540-3722
(706) 636-4325
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Ronald Craig Clark
- 200 Industrial Blvd Suite 108
- Ellijay, GA
- Zip : 30540-3722
- Fax : (706) 636-4325
- Phone : (706) 636-4325
Second Address
- Dr. Ronald Craig Clark
- 200 Industrial Blvd Suite 108
- Ellijay, GA
- Zip : 30540-3722
- Fax : (706) 636-4325
- Phone : (706) 636-4325
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CHIRO002251 | GA |
National Provider Identifier
| NPI | 1356400105 |
|---|---|
| Provider Name | Dr. Ronald Craig Clark |
| First Address | Ellijay, GA 30540-3722 |
| Second Address | Ellijay, GA 30540-3722 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T86430 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.