Wilson, Nicole M

Wilson, Nicole M is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd , Duluth GA 30096-4506. She recently has only one registered license in Pharmacy Service Providers / Oncology, which is considered as her primary health care specialty. Wilson, Nicole M can be contacted via phone (770) 931-6368.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Duluth GA 30096-4506
Phone: (770) 931-6368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X RPH025014 Georgia
Pharmacy Service Providers / Oncology 1835X0200X 26021742A Indiana

Profile Details

NPI number 1952736449
LBN Legal business name Wilson, Nicole M
Credentials PHARMD, BCOP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Jul 17th, 2014 - about 10 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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