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Individual

DR. DIANA E. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUDIOLOGIST

Contact information

Practice address
117 HARMONY XING STE 8, EATONTON, GA 31024-9548
(706) 453-2119
(706) 467-9068
Mailing address
1020 PARKSIDE COMMONS, BOX 103-40, GREENSBORO, GA 30642-3217
(865) 680-0085

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
231H00000X
Audiologist
Primary
AUD004388
GA

Other

Enumeration date
07/02/2015
Last updated
08/08/2024
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