Mr. Wiley Clark Branch
Mr. Wiley Clark Branch is an Athletic Trainer in Durant, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
89 W Cedar StDurant, MS 39063-3509
Phone: (662) 417-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1942979232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2021 |
| Last updated in NPPES | September 9, 2021 |
| Certification date | September 9, 2021 |
| Mailing address | 89 W Cedar St, Durant, MS 39063-3509 |