Individual
MR. JOSEPH DANIEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC; LAT
Contact information
Practice address
320 N WAYNE ST, MILLEDGEVILLE, GA 31061-2857
(478) 445-1787
(478) 445-1790
Mailing address
320 N WAYNE ST, MILLEDGEVILLE, GA 31061-2857
(478) 445-1787
(478) 445-1790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001459
GA
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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