Individual
EVAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 MCCALLIE AVE DEPT 6606, CHATTANOOGA, TN 37403-2504
(423) 425-4323
Mailing address
2507 E BROW RD, SIGNAL MOUNTAIN, TN 37377-3500
(615) 556-0163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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