Andrew Alcantar
Specialist/Technologist, Athletic Trainer in Calhoun, GA. Individual provider (NPI-1).
NPI number1780294926
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1780294926
- Entity type
- Individual (NPI-1)
- Name
- Andrew Alcantar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002802 | GA | Yes |
Practice location
7340 Fairmount Hwy SeCalhoun, GA 30701-4023
Phone 706-602-0320
Mailing address
39 Jim Ln SeCartersville, GA 30120-7824
Phone 478-293-9539
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