Individual
TERICKA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 REID DR, DOTHAN, AL 36301-4551
(478) 363-6547
Mailing address
206 REID DR, DOTHAN, AL 36301-4551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN314650
GA
374J00000X
Doula
—
—
Other
Enumeration date
07/29/2025
Last updated
03/03/2026
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