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Contact Information

LAURA R WILSON, MSN, APRN-BC
35 WARREN ST
ATLANTA, GA30317
 Phone: 404-588-0101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURA R WILSON · (Female)

NPI Number 1104032218
Credentials MSN, APRN-BC
Entity Individual
Enumeration date 05/15/2007
Last updated 05/24/2016 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
CT License # 004365
GA License # RN247115
TX License # 701633
TX Medicaid 154467803
TX Medicare OSCAR/Certification 671848
TX Other 1821185299 NPI - BVCAA
TX Other 1275620551 NPI - ROBERTSON COUNTY CHC
TX Other 1649265646 NPI- BRYAN- COLLEGE STATION CHC
Hospital affiliation(s) n/a
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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