Individual
KATELYN STAHL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060
(770) 794-0477
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8217
GA
367H00000X
Anesthesiologist Assistant
92
SC
Other
Enumeration date
11/21/2016
Last updated
02/17/2026
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