Individual
MS. JAMIE E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 PEEKS FORD RD SE, CONYERS, GA 30013-2944
(678) 314-1228
Mailing address
1270 PEEKS FORD RD SE, CONYERS, GA 30013-2944
(678) 314-1228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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