Search › Georgia › 347C00000X
Marvel Wilson
NPI 1386062388 · on the registry since 2014 · sole proprietor
Practice
- Address
- 225 Johnson Rd Apt 38b
Forest Park, GA 30297 - Phone
- (404) 437-8289
- Organisation at this address
- Minwil
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-07
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