Ms. Suzette K. Wilson CMA,PCT,LMT
Specialist in Kennesaw, GA(View on Map)
Full Name
Ms. Suzette Karen Wilson CMA,PCT,LMT
NPI Number
1407170475
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/19/2010
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
MT005239
Contact
Information
Purpose
Mailing
Location
Address
4172 SHILOH RIDGE TRL NW
4172 SHILOH RIDGE TRL NW
City
Kennesaw
Kennesaw
State
GA
GA
Postal Code
30144-2160
30144-2160
Country
US
US
Telephone Number
(770) 865-9886
(770) 865-9886
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/19/2010