Lance David Markham, ATC, CSCS
Individual provider Active NPI Athletic Trainer · Young Harris, GA
NPI 1487783684 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487783684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT000805 (GA)
- Practice address
- 37 College St
Young Harris, GA 30582 - Phone
- (706) 379-5199
- Fax
- (706) 379-4593
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000805 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT000805 | GA | Yes |
Addresses
Primary practice location
37 College St
Young Harris, GA 30582
Mailing address
7493 Hooper CV
Young Harris, GA 30582-2017
Phone (706) 379-9619
Other providers in Young Harris, GA
- Sharon Kestin
- Tyler David Ledford
- Gregory H Lego
- Lincare Inc.
- Nicolai Anders Lohman
- Mary Emma B Jones PHD PC
- Theresa Marie Mayhew
- Kayla Leigh Moody
- Abby Morgan
- Ketron V. Moss
All providers in Young Harris, GA · Athletic Trainer in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.