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Individual

IKEISHA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
654 MAIN ST STE 7, THOMSON, GA 30824-7425
(706) 710-2855
(706) 710-8802
Mailing address
654 MAIN ST STE 7, THOMSON, GA 30824-7425
(706) 710-2855
(706) 710-8802

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
01/22/2026
Last updated
01/22/2026
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