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Individual

MS. NICOLE WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2177 RED OAK CIR, UNION CITY, GA 30291-5500
(404) 721-8234
Mailing address
2177 RED OAK CIR, UNION CITY, GA 30291-5500
(404) 721-8234

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
11/12/2020
Last updated
11/12/2020
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