Individual provider · Type 1 NPI
Wyatt Joseph McCrackin
Student in an Organized Health Care Education/Training Program · Galivants Ferry, SC
NPI number
1922554435
Active
Practice location
3501 Highway 308
Galivants Ferry, SC 29544-7317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1922554435
Wyatt Joseph McCrackin's National Provider Identifier is 1922554435, issued on Aug 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Galivants Ferry, SC. The record was last updated on Aug 26, 2016.