Susan B Wilson, N.P.

NPI #1205844842 in Cedartown, Georgia

Provider Information

NPI Number
1205844842
Entity Type
Individual
Name
Susan B Wilson, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
N.P.
Enumeration Date
Aug 3, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
134 E FAIRMOUNT AVE
State
Georgia
ZIP Code
30125-2706
Phone
(770) 748-5212

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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