Individual
JESSICA ALLY WILSON ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, DPT
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 353-7400
Mailing address
2227 US HIGHWAY 41 NORTH, TIFTON, GA 31794-1563
(404) 998-6216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013769
GA
2255A2300X
Athletic Trainer
AT002824
GA
Other
Enumeration date
08/06/2018
Last updated
02/20/2019
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