Christie Wilson, is a
Contractor based in Lithonia, Georgia. Christie Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
5456 Salem Springs Dr, Lithonia, Georgia. She can be reached at her office (for appointments etc.) via phone at
(817) 567-6098.
NPI number for Christie Wilson is 1649686122 and her current mailing address is 5456 Salem Springs Dr., Lithonia, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649686122.
Healthcare Provider's Profile
| Full Name | Christie Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Contractor |
|---|
| Location | 5456 Salem Springs Dr, Lithonia, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649686122
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 07/07/2014
Medical Identifiers
Medical identifiers for Christie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649686122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Primary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christie Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christie Wilson,
5456 Salem Springs Dr.,
Lithonia, GA 30038
Ph: (817) 567-6098 | Christie Wilson,
5456 Salem Springs Dr,
Lithonia, GA 30038-4821
Ph: (817) 567-6098 |
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