Wilson, Stephanie R

Wilson, Stephanie R is an individual health care provider with primary practice located at 5308 Wapakonata Trl Sw , Oxford GA 30054-3335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, which is considered as her primary health care specialty. Wilson, Stephanie R can be contacted via phone (901) 239-8461.

Contact Information

Primary practice address
5308 Wapakonata Trl Sw Oxford GA 30054-3335
Phone: (901) 239-8461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 224ZR0403X

Profile Details

NPI number 1558992057
LBN Legal business name Wilson, Stephanie R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Feb 3rd, 2020 - about 4 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 1558992057 NPPES
Georgia Other 844551151 TRANSPORTATION

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