# MR. MARK A. MEYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992920110
- **Gender:** Man
- **Credential:** PA-C, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | AT0671 | TN | — |
| 363A00000X | Physician Assistant | 5822 | GA | Yes |

## Other

- **Enumeration date:** 04/14/2007
- **Last updated:** 12/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 361360414D | — | GA |