Individual
CANDI ANTOINETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ARGENTO DR APT 7102, APT 7102, MCDONOUGH, GA 30253-5232
(337) 459-6142
Mailing address
300 ARGENTO DR APT 7102, MCDONOUGH, GA 30253-5232
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN-NP290678
GA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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