Type 1 individualNPI 1215339015
DANICE WILSON PRACTITIONER, MED
251S00000X · AUSTELL, GA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 251S00000X | 251S00000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 101YM0800X | 101YM0800X | Additional |
| 101YP1600X | 101YP1600X | Additional |
| 101YP1600X | 101YP1600X | Additional |
| 251S00000X | 251S00000X | Additional |
| 261QM0855X | 261QM0855X | Additional |
| 261QM0855X | 261QM0855X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s