Individual
NATALEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH STREET - LOWER LEVEL, WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER, MARIETTA, GA 30060
(770) 793-5186
Mailing address
240 AZALEA DR, ROSWELL, GA 30075-4806
(404) 310-9033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89405
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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