Gary Blaine Wilkerson in Signal Mountain - Athletic Trainer
Gary Blaine Wilkerson - NPI 1639106362
Gary Blaine Wilkerson is a Athletic Trainer in Signal Mountain, Tennessee. Gary Blaine Wilkerson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gary Blaine Wilkerson is 1639106362. The last update date is 2007-07-08.
Gary Blaine Wilkerson's current location address is 9 Big Rock Rd, Signal Mountain, Tennessee. You can contact this provider via phone number 4238862998 and fax number 4234255395. The mailing address for Gary Blaine Wilkerson is 9 Big Rock Rd, Signal Mountain, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Blaine Wilkerson |
|---|---|
| Address | 9 Big Rock Rd, Signal Mountain, Tennessee |
| Phone Number | 4238862998 |
| Fax Number | 4234255395 |
| Sole Proprietor | N |
| Credentials | ED.D., A.T |
NPI Number Detail
| NPI Number | 1639106362 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 Big Rock Rd |
|---|---|
| City | Signal Mountain |
| State | Tennessee (TN) |
| Post Code | 373772007 |
| Phone Number | 4238862998 |
| Fax Number | 4234255395 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 502 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the Gary Blaine Wilkerson's 1639106362?
The Gary Blaine Wilkerson's NPI (National Provider Identifier) Number is 1639106362. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Blaine Wilkerson?
The Gary Blaine Wilkerson is situated at 9 Big Rock Rd, in the city of Signal Mountain, state of TN, with the zip code 373772007.
What is Gary Blaine Wilkerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Blaine Wilkerson's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
On what date was the 1639106362 assigned to Gary Blaine Wilkerson?
The Gary Blaine Wilkerson was issued its 1639106362 on 2006-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gary Blaine Wilkerson most recently updated or refreshed?
The details pertaining to the Gary Blaine Wilkerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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