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Jordan Wilson
NPI 1669282596 · on the registry since 2025
Practice
- Address
- 62 Roundtree Ct
Dallas, GA 30132 - Phone
- (716) 531-3364
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-13
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