Individual
MR. LANCE DAVID MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
37 COLLEGE ST, YOUNG HARRIS, GA 30582
(706) 379-5199
(706) 379-4593
Mailing address
7493 HOOPER CV, YOUNG HARRIS, GA 30582-2017
(706) 379-9619
(706) 379-4593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000805
GA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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