Lance David Markham, ATC, CSCS
Specialist/Technologist, Athletic Trainer in Young Harris, GA. Individual provider (NPI-1).
NPI number1487783684
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487783684
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lance David Markham
- Credential
- ATC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT000805 | GA | Yes |
Practice location
37 College StYoung Harris, GA 30582
Phone 706-379-5199 · Fax 706-379-4593
Mailing address
7493 Hooper CvYoung Harris, GA 30582-2017
Phone 706-379-9619 · Fax 706-379-4593
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All 8 Athletic Trainer providers in Young Harris · All 50 providers in Young Harris
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