Individual
ANGELA WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 FAIRBURN RD STE B, DOUGLASVILLE, GA 30135-1090
(770) 896-6518
Mailing address
3890 MILL GLEN DR, DOUGLASVILLE, GA 30135-2582
(770) 577-1186
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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