NPI 1003302126
Andrew Wilson
Practice location
- Address
- 615 McCallie Ave, Chattanooga, TN 37403
- Phone
- (423) 425-4111
- Mailing address
- 975 E 3rd St # 260, Chattanooga, TN 37403-2173
Registered specialties (2)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003302126
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jul 2018
- Record last updated
- 27 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.