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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARVEL PAMELA WILSON

Active Sole Proprietor

MARVEL PAMELA WILSON is a Private Vehicle healthcare provider located in FOREST PARK, Georgia. NPI 1386062388 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · FOREST PARK, GA

Registration Details

NPI Number
1386062388
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2014 (12.386145083027 yrs)
Last Updated
Apr 7, 2014
License
347C00000X (GA)
Sole Proprietor
Yes

Practice Information

Address
225 JOHNSON RD APT 38B
FOREST PARK, GA, 302972892
Browse GA providers · Browse ZIP 30297
Phone
4044378289
Primary Specialty
Private Vehicle
347C00000X
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.