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1205844842
SUSAN B WILSON
CEDARTOWN, GA
NPI
1205844842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 045387)
Enumeration Date
2006-08-03
Last Update Date
2007-07-09
Business Address
-- SUSAN B WILSON N.P.
134 E FAIRMOUNT AVE
CEDARTOWN, GA 30125-2706
Phone number: 770-748-5212
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Mailing Address
-- SUSAN B WILSON N.P.
420 E 2ND AVE SUITE 103
ROME, GA 30161-3224
Phone number: 706-509-3278
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