Search › Georgia › 374U00000X
Demetirus Wilson
NPI 1699250225 · on the registry since 2018 · sole proprietor
Practice
- Address
- 73 Mallard Hl
Ringgold, GA 30736 - Phone
- (423) 503-4507
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-01
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