Individual
CHARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6197 KING ARTHUR DR, DOUGLASVILLE, GA 30135-3753
(478) 207-0581
Mailing address
6197 KING ARTHUR DR, DOUGLASVILLE, GA 30135-3753
(478) 207-0581
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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