Individual
MR. NOAH ANDREW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1971 UNIVERSITY BLD, LYNCHBURG, VA 24515-0001
(615) 712-4432
Mailing address
1971 UNIVERSITY BLD, LYNCHBURG, VA 24515-0001
(615) 712-4432
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126007928
VA
Other
Enumeration date
05/21/2018
Last updated
01/06/2019
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