Individual
DENISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2493 CORNER SHOALS DR, DECATUR, GA 30034-1224
(404) 226-8576
Mailing address
2493 CORNER SHOALS DR, DECATUR, GA 30034-1224
(404) 226-8576
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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