Wilson, Tiny Benita
Wilson, Tiny Benita is an individual health care provider with primary practice located at 2890 Georgia Highway 212 Sw Ste A360 , Conyers GA 30094. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Tiny Benita can be contacted via phone (770) 601-6892.Contact Information
Primary practice address
2890 Georgia Highway 212 Sw Ste A360
Conyers GA 30094
Phone: (770) 601-6892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN135948NP | Georgia |
Profile Details
| NPI number | 1417029133 |
|---|---|
| LBN Legal business name | Wilson, Tiny Benita |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jun 20th, 2018 - about 6 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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