Individual provider · Type 1 NPI

Suzette Karen Wilson, CMA, PCT, LMT

Specialist · Kennesaw, GA

NPI number 1407170475 Active

Practice location

4172 Shiloh Ridge Trl NW
Kennesaw, GA 30144-2160

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT005239 (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.

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About NPI 1407170475

Suzette Karen Wilson, CMA, PCT, LMT's National Provider Identifier is 1407170475, issued on Mar 19, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kennesaw, GA. The record was last updated on Mar 19, 2010.