Wilson, Virginia

Wilson, Virginia is an individual health care provider with primary practice located at 480 Glynn St N , Fayetteville GA 30214-1192. 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, Virginia can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
480 Glynn St N Fayetteville GA 30214-1192
Fax: (401) 652-9787
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN065217 NP Georgia

Profile Details

NPI number 1629262936
LBN Legal business name Wilson, Virginia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Apr 6th, 2015 - about 9 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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