Wilson, Sandra Baird

Wilson, Sandra Baird is an individual health care provider with primary practice located at 2005 Prince Avenue , Athens GA 30606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Sandra Baird can be contacted via phone (706) 208-9700.

Contact Information

Primary practice address
2005 Prince Avenue Athens GA 30606
Phone: (706) 208-9700
Fax: (706) 208-0878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP01551 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN096987 Georgia

Profile Details

NPI number 1356468441
LBN Legal business name Wilson, Sandra Baird
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356468441 NPPES
New Mexico MEDICAID 11722746
New Mexico Other CNP01551
New Mexico Other 180464

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