Levi William Wilson, ATC

Athletic Trainer · Brookhaven, GA

Individual Active NPI

NPI number 1164049136

Practice location

1575 N East Expy NE
Brookhaven, GA 30329-2401
Phone
(543) 740-4758

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NPI record

NPI
1164049136
Entity type
Individual (Type 1)
Enumeration date
June 25, 2020
Last updated
June 25, 2020
Certified
June 25, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT002885 GA

Mailing address

390 Apple Ridge 2
Dawsonville, GA 30534-5140

About Levi Wilson

Levi William Wilson, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1575 N East Expy NE, Brookhaven, GA 30329-2401. The NPI number 1164049136 was assigned on June 25, 2020 and the record was last updated on June 25, 2020.

Levi Wilson lists a license in the registry: #AT002885 (GA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Levi William Wilson, ATC?

The NPI number is 1164049136.

What is the phone number of Levi Wilson?

The phone number listed for the practice location is (543) 740-4758.

Where is Levi Wilson located?

1575 N East Expy NE, Brookhaven, GA 30329-2401.

What is the taxonomy code for Levi Wilson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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