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Individual

MRS. CHRISTY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1348 WALTON WAY STE 6300, AUGUSTA, GA 30901-5109
(706) 724-5611
(706) 724-5435
Mailing address
1348 WALTON WAY STE 6300, AUGUSTA, GA 30901-5109
(706) 724-5611
(706) 724-5435

Taxonomy

Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN209045
GA

Other

Enumeration date
01/11/2016
Last updated
01/11/2016
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