Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anthoni Austin Wedderburn, ATC, LAT

Individual provider Athletic Trainer · NPI 1033720073

Mr. Anthoni Austin Wedderburn, ATC, LAT is an Athletic Trainer in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1401 Edwards Mill Rd
Raleigh, NC 27607-0718
Phone: (919) 834-1625
Fax: (919) 834-9771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence LAT-1496 (NC)

Record details

NPI number1033720073
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

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