Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANICE WILSON
Active Sole ProprietorJANICE WILSON is a Specialist healthcare provider located in LOGANVILLE, Georgia. NPI 1215480215 is currently active in the NPPES registry. Verify at CMS.
Specialist · LOGANVILLE, GA
Registration Details
- NPI Number
- 1215480215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2016 (10.075364982614 yrs)
- Last Updated
- Jul 27, 2016
- License
-
NT017440 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4055 BRUSHYMILL CTLOGANVILLE, GA, 30052Browse GA providers · Browse ZIP 30052
- Phone
- 7703347396
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| SUSAN HAMMOND | BA OTR | 1518038272 |
| ALIU O SANNI | MD | 1629226758 |
| ELBRETTA RENISE CARPENTER | — | 1366294712 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.