Wilson, Griselda

Wilson, Griselda is an individual health care provider with primary practice located at 2416 Windsor Spring Rd , Augusta GA 30906-4666. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wilson, Griselda can be contacted via phone (706) 772-7155.

Contact Information

Primary practice address
2416 Windsor Spring Rd Augusta GA 30906-4666
Phone: (706) 772-7155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH018959 Georgia

Profile Details

NPI number 1407801566
LBN Legal business name Wilson, Griselda
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407801566 NPPES
Georgia Other 1148952 NABP NUMBER
Georgia MEDICAID 7G8531 NABP NUMBER
Georgia MEDICAID 00921566A NABP NUMBER

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