Individual
CAROLINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10995 STATE BRIDGE RD STE E, JOHNS CREEK, GA 30022-8142
(470) 448-4860
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016328
GA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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