Individual
MRS. COURTNEY ELLER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S GLENN DR, SHELBY, NC 28152-8004
(704) 313-7340
Mailing address
114 S GLENN DR, SHELBY, NC 28152-8004
(704) 313-7340
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
P2008475
NC
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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