Individual provider · Type 1 NPI
Annette N/a Wilson
Student in an Organized Health Care Education/Training Program · Clarkston, GA
NPI number
1376319913
Active
Practice location
495 N Indian Creek Dr
Clarkston, GA 30021-2359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1376319913
Annette N/a Wilson's National Provider Identifier is 1376319913, issued on Nov 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clarkston, GA. The record was last updated on Nov 27, 2023.