Search › Georgia › 163WP0808X
Alicia Wilson
NPI 1053072074 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4590 Valley Pkwy Se Apt G
Smyrna, GA 30082 - Phone
- (470) 503-8053
- Organisation at this address
- Mudaris Healthcare Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia