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Individual

MIRIAM HOPE WHATLEY WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.C.D., CCC-A

Contact information

Practice address
2550 WINDY HILL RD SE, SUITE 307, MARIETTA, GA 30067-8665
(770) 953-1414
(770) 953-9474
Mailing address
2550 WINDY HILL RD SE, SUITE 307, MARIETTA, GA 30067-8665
(770) 953-1414
(770) 953-9474

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003569AUD
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003569AUD
LICENSE
GA
Enumeration date
05/09/2007
Last updated
11/22/2010
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