Individual
CATRINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1246 MILL CREST WALK NW, CONYERS, GA 30012-4244
(678) 409-6823
Mailing address
1246 MILL CREST WALK NW, CONYERS, GA 30012-4244
(678) 409-6823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-1534
GA
Other
Enumeration date
06/23/2019
Last updated
05/27/2020
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