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Individual

MACKENZIE LESHA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 332-3548
Mailing address
1010 TROY ST W, AHOSKIE, NC 27910-2146
(252) 862-5590

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5016604
NC

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
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