Individual
KRISTEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(330) 540-9372
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(330) 540-9372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
281178
OH
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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