Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MOUNT VERNON CIR, ATLANTA, GA 30338-5433
(256) 698-9340
Mailing address
20 MOUNT VERNON CIR, ATLANTA, GA 30338-5433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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