Wilson, Erica R
Wilson, Erica R is an sole proprietor health care provider with primary practice located at 2395 Wall St Se Suite 190, Conyers GA 30013-6703. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilson, Erica R can be contacted via phone (404) 202-8490.Contact Information
Primary practice address
2395 Wall St Se Suite 190
Conyers GA 30013-6703
Phone: (404) 202-8490
Fax: (770) 679-9344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006266 | Georgia |
Profile Details
| NPI number | 1801890439 |
|---|---|
| LBN Legal business name | Wilson, Erica R |
| Credentials | MEDCCCSLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Dec 11th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801890439 | NPPES |
| Georgia | MEDICAID | 435026966A |
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