NPI 1417656083

Charlene Wilson

Practitioner Transportation Network Company Douglasville, GA

Practice location

Address: 6197 King Arthur Dr, Douglasville, GA 30135-3753
Phone: (478) 207-0581

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X

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Registry record

NPI: 1417656083
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2023
Record last updated: 2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.