Individual
KAITLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
5195 JIMMY CARTER BLVD, NORCROSS, GA 30093-1649
(470) 514-5818
Mailing address
4491 VILLAGE SPRINGS PL, DUNWOODY, GA 30338-2401
(571) 721-0455
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
251088
GA
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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