Individual
KATHY P WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, BSN, WHNP
Contact information
Practice address
4000 VINEVILLE AVE, MACON, GA 31210-5038
(478) 477-9412
Mailing address
3025 BRECKINRIDGE BLVD, SUITE 120, DULUTH, GA 30096-7611
(678) 226-0022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
RN044238
GA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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