Individual provider · Type 1 NPI
Janice Wilson
Specialist · Loganville, GA
NPI number
1215480215
Active
Practice location
4055 Brushymill Ct
Loganville, GA 30052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | NT017440 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Loganville
About NPI 1215480215
Janice Wilson's National Provider Identifier is 1215480215, issued on Jul 27, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Loganville, GA. The record was last updated on Jul 27, 2016.