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Contact Information

SANDRA WILSON
121 JACKSON ST
NEWNAN, GA30263-1572
 Phone: 770-251-5873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA WILSON · (Female)

NPI # 1609279967
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2014
Last updated 10/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY003843
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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