Individual
MARILYN WILSON KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 420, ATLANTA, GA 30342-1731
(404) 255-4347
Mailing address
44 KING ARTHUR CT, DALLAS, GA 30157-5934
(404) 255-4347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1050341
GA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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