Individual
CARTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
305 CIMARRON PL, MARTINEZ, GA 30907-5127
(706) 421-7087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN288143
GA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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