Individual
HEATHER LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
4271 SOUTH LEE STREET SUITE 101 & 102, BUFORD, GA 30518
(678) 765-8160
(678) 765-8163
Mailing address
4271 SOUTH LEE STREET SUITE 101 & 102, BUFORD, GA 30518
(678) 765-8160
(678) 765-8163
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
2441274
GA
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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