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1811373194
ANNISSA ANNETTE WILSON
BUFORD, GA
NPI
1811373194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN177871)
Enumeration Date
2015-08-10
Last Update Date
2016-06-06
Business Address
ANNISSA ANNETTE WILSON FNP-C
2805 HAMILTON MILL RD
BUFORD, GA 30519-4110
Phone number: 678-541-0588
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Mailing Address
ANNISSA ANNETTE WILSON FNP-C
PO BOX 529
ROYSTON, GA 30662-0529
Phone number: 706-363-9229
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