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Individual

MR. WILLIAM WYATT LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC

Contact information

Practice address
100 S FOREST HILLS SCHOOL RD, MARSHVILLE, NC 28103-9494
(704) 296-3025
(704) 233-4003
Mailing address
900 CENTER PARK DR STE J, CHARLOTTE, NC 28217-2962
(704) 863-4878

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1929
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1929
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS (NCBATE)
NC
01
2000006943
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER (BOCATC)
Enumeration date
04/28/2014
Last updated
03/25/2025
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