Carrie Wilson, CPNP
Nurse Practitioner, Pediatrics in Snellville, GA. Individual provider (NPI-1).
NPI number1164892618
StatusActive
Last updated in NPPESSep 28, 2015
Details
- NPI
- 1164892618
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carrie Wilson
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2015
- Last updated
- Sep 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN251844 | GA | Yes |
Practice location
1700 Tree LnSuite 110
Snellville, GA 30078-6782
Phone 678-775-1501 · Fax 678-775-3585
Mailing address
1700 Tree LnSuite 110
Snellville, GA 30078-6782
Phone 678-775-1501 · Fax 678-775-3585
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