Individual
KEMAYA WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MARIETTA ST NW STE 350, ATLANTA, GA 30303-2724
(404) 947-5800
Mailing address
189 HIDDEN CREEK CIR, LIZELLA, GA 31052-5572
(404) 308-7475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN213051
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN213051
GA
Other
Enumeration date
07/22/2015
Last updated
03/22/2021
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