Charles Alan Wardlaw, ATC
NPI #1316474885 in Junction City, Arkansas
Provider Information
- NPI Number
- 1316474885
- Entity Type
- Individual
- Name
- Charles Alan Wardlaw, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 16, 2017
- Last Updated
- May 16, 2017
Practice Location
- Address
- 100 W HOLLY RD
- City
- Junction City
- State
- Arkansas
- ZIP Code
- 71749-9031
- Phone
- (870) 924-4575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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Organizations
| Provider Name | |
|---|---|
| Arkansas State University Athletic Training | AI Deep Dive |
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