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

Individual provider Athletic Trainer · NPI 1891025235

Jeancarlo Alencastro, ATC/L is an Athletic Trainer in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
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Practice location Address checks out

777 Cleveland Ave SW Ste 406
Atlanta, GA 30315-7101
Phone: (404) 228-3112
Fax: (404) 763-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT001665 (GA)

Record details

NPI number1891025235
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC/L
Sole proprietorYes
NPI enumeratedJanuary 7, 2010
Last updated in NPPESJanuary 5, 2015

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