Individual
BROOKLYN DALLAS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11909 MCAULEY DR STE 100A2, SAVANNAH, GA 31419-1793
(912) 354-8331
(912) 352-9782
Mailing address
129 ARUSHA AVE, SAVANNAH, GA 31419-3194
(713) 294-9632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN293708
GA
Other
Enumeration date
09/06/2023
Last updated
12/07/2023
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