Mark Edward Boulden JR. ATC

  • NPI 1053764977
According to our database, the NPI number for Mark Edward Boulden JR. ATC is 1053764977 and activated since 7 years ago. Mark Edward Boulden JR. ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 2185 N Fraser St, Georgetown, SC 29440. You can also contact Mark Edward Boulden JR. ATC via telephone number is (843) 527-1800. Provider NPI information was last updated on 07/15/2016.

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Overview of Mark Edward Boulden JR. ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/15/2016
  • Last updated: 07/15/2016

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 1667
  • License State: SC

Provider Mailing Address

  • Address: 2185 N Fraser St
    Georgetown, SC 29440
  • Phone: 843-527-1800
  • Fax: 843-527-6528

Provider Practice Location

  • Address: 2185 N Fraser St
    Georgetown, SC 29440
  • Phone: 843-527-1800
  • Fax: 843-527-6528

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 1667
  • License State: SC
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark Edward Boulden JR. ATC?
  • A: The npi number for Mark Edward Boulden JR. ATC is 1053764977.
  • Q: What are Mark Edward Boulden JR. ATC's specialties?
  • A: Mark Edward Boulden JR. ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Mark Edward Boulden JR. ATC?
  • A: The medical license number for Mark Edward Boulden JR. ATC is 1667 and issued in SC in USA.
  • Q: Where is Mark Edward Boulden JR. ATC practice location?
  • A: Mark Edward Boulden JR. ATC is practicing at 2185 N Fraser St, Georgetown, SC 29440.
  • Q: How to contact Mark Edward Boulden JR. ATC?
  • A: You can contact Mark Edward Boulden JR. ATC via 843-527-1800.
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