MS. Wanda Denise Nelson

NPI #1396973665 in Decatur, Georgia

Provider Information

NPI Number: 1396973665
Entity Type: Individual
Name: MS. Wanda Denise Nelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 25, 2009
Last Updated: Feb 15, 2010

Practice Location

Address: 3275 CREEKWAY LN
City: Decatur
State: Georgia
ZIP Code: 30034-4909
Phone: (404) 243-3865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X
Assistant, Podiatric	211D00000X
Specialist	174400000X	Primary

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