Miss Georgia Wilson, LPN | |
601 Gall St., Lower Brule, SD 57548 | |
(605) 473-8243 | |
(605) 473-0607 |
Full Name | Miss Georgia Wilson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 601 Gall St., Lower Brule, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699209775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | P011717 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Georgia Wilson, LPN P.o. Box 187, Lower Brule, SD 57548 Ph: (605) 473-8243 | Miss Georgia Wilson, LPN 601 Gall St., Lower Brule, SD 57548 Ph: (605) 473-8243 |
Desiree Nolene Laroche, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Gall St., Lower Brule, SD 57548 Phone: 605-473-5526 Fax: 605-473-5677 | |
Iva Jean Bolman, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Gall St., Lower Brule, SD 57548 Phone: 605-473-0852 |