Most Relevant Information
Provider Data
| NPI Number: | 1003026618 |
| Provider Name: | SUSAN BRITTANY WILKES A.T.C., L.A.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 961 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
800 LAKESHORE DR
ATHLETIC TRAINING DEPARTMENT
BIRMINGHAM
AL
352290001
Practice Location Phone/Fax
| Phone: | 2057262574 |
| Fax: |
Provider Mailing Location
311 CROWNE RESERVE DR
BIRMINGHAM
AL
352447039
Provider Mailing Phone/Fax
| Phone: | 7065403212 |
| Fax: |