MS. Suzette Karen Wilson, CMA,PCT,LMT

NPI #1407170475 in Kennesaw, Georgia

Provider Information

NPI Number
1407170475
Entity Type
Individual
Name
MS. Suzette Karen Wilson, CMA,PCT,LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
CMA,PCT,LMT
Enumeration Date
Mar 19, 2010
Last Updated
Mar 19, 2010

Practice Location

Address
4172 SHILOH RIDGE TRL NW
State
Georgia
ZIP Code
30144-2160
Phone
(770) 865-9886

Specialties & Taxonomy Codes

Specialty
Specialist

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