Individual
BARBARA HARPER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 BRISTOL PLACE CT, AUGUSTA, GA 30906-9495
(706) 836-9558
Mailing address
2411 BRISTOL PLACE CT, AUGUSTA, GA 30906-9495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2006
Last updated
07/09/2007
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