Individual
MRS. CARRIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(678) 775-1501
(678) 775-3585
Mailing address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(678) 775-1501
(678) 775-3585
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN251844
GA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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