Individual
CARRIE-ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5204 AUGUSTA RD, GARDEN CITY, GA 31408-1606
(912) 966-5665
Mailing address
1103 WALDEN PARK DR, SAVANNAH, GA 31410-2180
(706) 319-6788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH023089
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
01/29/2010
Last updated
01/29/2010
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