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ANDREW JEREMY MARISCAL
NPI 1669004693
Student in an Organized Health Care Education/Training Program in Macon, GA

Active since February 07, 2020
1045 ASHFORD CHASE CT, MACON, GA 31210(478) 550-2624 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Jeremy Mariscal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JEREMY MARISCAL (NPI 1669004693) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1669004693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW JEREMY MARISCAL
Location Address1045 ASHFORD CHASE CTMacon, GA 31210-8027
Mailing Address1045 Ashford Chase CtMacon, GA 31210-8027 · (478) 550-2624
Phone(478) 550-2624
Sole ProprietorYes
Enumeration DateFebruary 7, 2020
✔ NPI 1669004693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1045 ASHFORD CHASE CT, Macon, GA 31210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mariscal's NPI number?

The NPI number for Andrew Mariscal is 1669004693. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Andrew Mariscal located?

Andrew Mariscal practices at 1045 Ashford Chase Ct, Macon, GA 31210. The listed phone number is (478) 550-2624.

What is Andrew Mariscal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrew Mariscal was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.