Mark A. Meyer, PA-C, ATC
Physician Assistant in Calhoun, GA. Individual provider (NPI-1).
NPI number1992920110
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1992920110
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark A. Meyer
- Credential
- PA-C, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2007
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5822 | GA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT0671 | TN |
Practice location
400 Timms Rd NeCalhoun, GA 30701-7016
Phone 706-602-3100 · Fax 706-602-3101
Mailing address
Po Box 12938C/O Clinic Management
Calhoun, GA 30703
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