Individual
ALICIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8740 ROSWELL RD UNIT 10D, SANDY SPRINGS, GA 30350-1831
(770) 837-5577
Mailing address
8352 ROSWELL RD APT ROSWELL, ATLANTA, GA 30350-2812
(770) 837-5777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
885121
GA
Other
Enumeration date
01/05/2014
Last updated
08/28/2021
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