Levi William Wilson, ATC
NPI #1164049136 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1164049136
- Entity Type
- Individual
- Name
- Levi William Wilson, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 25, 2020
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 1575 N EAST EXPY NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-2401
- Phone
- (543) 740-4758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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