Individual
MS. CATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 JESSE HILL JR DR SE, AVON COMPREHENSIVE BREAST CENTER, ATLANTA, GA 30303
(404) 778-1230
(404) 778-4255
Mailing address
3300 OLD MILL COURT, DECATUR, GA 30033
(404) 727-3028
(404) 727-2203
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001060
GA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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