TONYIA WILSON
Managed Care Organizations at Maple St, Adel, GA

License number
Georgia 007793
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MS. TONYIA WILSON LPC
Title: OWNER/CEO
Phone: (229) 548-8591
Address
Address 2
101 S Maple St, Adel, GA 31620
PO Box 142, Sparks, GA 31647
National Provider ID: 1518372812
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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