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Individual
MRS. SUZANNE VICTORIA WILSON
Active
Individual
MRS. SUZANNE VICTORIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN159818NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525719654A
—
GA
Enumeration date
02/05/2007
Last updated
04/22/2016
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