According to our database, the NPI number for Mark R. Icenogle AT-C is 1306800610 and activated since 18 years ago. Mark R. Icenogle AT-C is an individual provider who specializes in Athletic Trainer, and the primary practice location is 758 Old Norcross Rd, Lawrenceville, GA 30045. You can also contact Mark R. Icenogle AT-C via telephone number is (678) 985-7190. Provider NPI information was last updated on 04/08/2008.

Recently Active NPIs

Overview of Mark R. Icenogle AT-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/13/2006
  • Last updated: 04/08/2008

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT001236
  • License State: GA

Provider Mailing Address

  • Address: 758 Old Norcross Rd
    Lawrenceville, GA 30045
  • Phone: 678-985-7190
  • Fax: 678-985-7158

Provider Practice Location

  • Address: 758 Old Norcross Rd
    Lawrenceville, GA 30045
  • Phone: 678-985-7190
  • Fax: 678-985-7158

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT001236
  • License State: GA
  • 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 R. Icenogle AT-C?
  • A: The npi number for Mark R. Icenogle AT-C is 1306800610.
  • Q: What are Mark R. Icenogle AT-C's specialties?
  • A: Mark R. Icenogle AT-C's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Mark R. Icenogle AT-C?
  • A: The medical license number for Mark R. Icenogle AT-C is AT001236 and issued in GA in USA.
  • Q: Where is Mark R. Icenogle AT-C practice location?
  • A: Mark R. Icenogle AT-C is practicing at 758 Old Norcross Rd, Lawrenceville, GA 30045.
  • Q: How to contact Mark R. Icenogle AT-C?
  • A: You can contact Mark R. Icenogle AT-C via 678-985-7190.