Individual
MISS COURTNEY BETH WISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4490 WEMBLY PL, CUMMING, GA 30041-5817
(678) 628-9101
Mailing address
4490 WEMBLY PL, CUMMING, GA 30041-5817
(678) 628-9101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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