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1013001973
TANYA S WILCOX
KENNESAW, GA
NPI
1013001973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN143313)
Enumeration Date
2006-10-03
Last Update Date
2016-12-05
Business Address
Ms. TANYA S WILCOX NP
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152-3938
Phone number: 770-515-9000
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Mailing Address
Ms. TANYA S WILCOX NP
1770 DENNIS KEMP LN NW
KENNESAW, GA 30152-3938
Phone number: 770-515-9000
Copy
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