Individual
NYLE KUNYRI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1609 NORMAN DR STE B, VALDOSTA, GA 31601-3753
(229) 269-4607
Mailing address
1609 NORMAN DR STE B, VALDOSTA, GA 31601-3753
(229) 269-4607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN124038
GA
Other
Enumeration date
03/08/2024
Last updated
12/05/2025
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