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Traci Wise, ATC
NPI 1093735185 · on the registry since 2006 · sole proprietor
Practice
- Address
- 104 Cardinal Rd
Woodbine, GA 31569 - Phone
- (912) 576-2900
- Fax
- (912) 576-4906
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia