Individual provider · Type 1 NPI

Andrew Jeremy Mariscal

Student in an Organized Health Care Education/Training Program · Macon, GA

NPI number 1669004693 Active

Practice location

1045 Ashford Chase Ct
Macon, GA 31210-8027

Call (478) 550-2624 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669004693

Andrew Jeremy Mariscal's National Provider Identifier is 1669004693, issued on Feb 7, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Macon, GA. The record was last updated on Feb 7, 2020.