Individual
PATTY J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(678) 344-1960
(404) 785-4969
Mailing address
2608 KYLAY LN, BUFORD, GA 30519-7962
(678) 546-6827
(678) 546-6827
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R103701
GA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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