Individual
LYNETTE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 507-3952
Mailing address
9528 US HIGHWAY 19, ZEBULON, GA 30295
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN225870
GA
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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