MARK EDWARD BOULDEN JR. ATC
NPI 1053764977
Specialist/Technologist - Athletic Trainer in Georgetown, SC
About Mark Edward Boulden Jr. Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK EDWARD BOULDEN JR. ATC (NPI 1053764977) is an individual athletic trainer provider in Georgetown, South Carolina, licensed in South Carolina (1667) and active in the NPI registry since July 2016.Information from the official NPPES registry record, last updated July 15, 2016.
NPPES Registry Identity
★ Primary Specialty
Specialist/Technologist · Athletic Trainer
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment,… Show more
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053764977, enumerated as an "individual" on July 15, 2016.
The provider is located at 2185 N FRASER ST GEORGETOWN, SC 29440 and the phone number is (843) 527-1800.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.