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Individual

BARBARA MITCHELL WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
3500 MCCLURE BRIDGE RD, DULUTH, GA 30096-3131
(770) 476-7047
(770) 476-5845
Mailing address
PO BOX 1415, DULUTH, GA 30096-0025
(770) 476-7047
(770) 476-5845

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R069686
GA

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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