TINY BENITA WILSON

CONYERS, GA
NPI1417029133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN135948NP)
Enumeration Date2006-11-15
Last Update Date2018-06-20
Business Address
Ms. TINY BENITA WILSON FNP
2890 GEORGIA HIGHWAY 212 SW STE A360
CONYERS, GA 30094
Phone number: 770-601-6892
Mailing Address
Ms. TINY BENITA WILSON FNP
2890 GEORGIA HIGHWAY 212 SW STE A360
CONYERS, GA 30094-3363
Phone number: 770-601-6892
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