Individual
MR. MARK A. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
400 TIMMS RD NE, CALHOUN, GA 30701-7016
(706) 602-3100
(706) 602-3101
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT0671
TN
363A00000X
Physician Assistant
Primary
5822
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361360414D
—
GA
Enumeration date
04/14/2007
Last updated
12/20/2018
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