Individual
RENAE HUGHES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 N ROUNTREE ST, METTER, GA 30439-3702
(912) 685-5765
Mailing address
PO BOX 205, METTER, GA 30439-0205
(912) 685-5765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004572
GA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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