MR. Joseph Daniel Wilson, ATC; LAT
NPI #1114107737 in Milledgeville, Georgia
Provider Information
- NPI Number
- 1114107737
- Entity Type
- Individual
- Name
- MR. Joseph Daniel Wilson, ATC; LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC; LAT
- Enumeration Date
- Nov 12, 2007
- Last Updated
- Nov 12, 2007
Practice Location
- Address
- 320 N WAYNE ST
- City
- Milledgeville
- State
- Georgia
- ZIP Code
- 31061-2857
- Phone
- (478) 445-1787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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