Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Jeremy Mariscal

Individual provider Athletic Trainer · NPI 1669004693

Andrew Jeremy Mariscal is an Athletic Trainer in Macon, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1045 Ashford Chase Ct
Macon, GA 31210-8027
Phone: (478) 550-2624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1669004693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2020
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

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