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Janice Wilson
NPI 1215480215 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4055 Brushymill Ct
Loganville, GA 30052 - Phone
- (770) 334-7396
- Organisation at this address
- Magnolia Health Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-27
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