Marcus A Underwood, LAT, ATC
Specialist/Technologist, Athletic Trainer in Smyrna, GA. Individual provider (NPI-1).
NPI number1982167789
StatusActive
Last updated in NPPESApr 9, 2019
Details
- NPI
- 1982167789
- Entity type
- Individual (NPI-1)
- Name
- Marcus A Underwood
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2019
- Last updated
- Apr 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002377 | GA | Yes |
Practice location
123 Vinings Pkwy SeSmyrna, GA 30080-3863
Phone 678-523-1547
Mailing address
123 Vinings Pkwy SeSmyrna, GA 30080-3863
Phone 678-523-1547
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