Individual
MS. PATRICIA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,RN,APRN,BC
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
208 NORTHERN AVE, DECATUR, GA 30030-2414
(404) 373-5975
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RN029193
GA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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