Wilson, Levi William

Wilson, Levi William is an individual health care provider with primary practice located at 1575 N East Expy Ne , Brookhaven GA 30329-2401. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wilson, Levi William can be contacted via phone (543) 740-4758.

Contact Information

Primary practice address
1575 N East Expy Ne Brookhaven GA 30329-2401
Phone: (543) 740-4758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT002885 Georgia

Profile Details

NPI number 1164049136
LBN Legal business name Wilson, Levi William
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Jun 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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