Individual
MRS. DANELLE PHELPS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3180 NORTH POINT PKWY, SUITE 410, ALPHARETTA, GA 30005
(770) 664-0088
(770) 664-8228
Mailing address
3180 NORTH POINT PKWY, SUITE 410, ALPHARETTA, GA 30005
(770) 664-0088
(770) 664-8228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
054365
GA
208000000X
Pediatrics Physician
Primary
54365
GA
Other
Enumeration date
05/17/2006
Last updated
08/25/2022
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