RENA WILSON (NPI# 1366065823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366065823 |
| Entity Type | Individual |
| Full Name | RENA WILSON |
| Credential | LMT |
| Practice Address |
3442 Francis Road Suite 130 Alpharetta UNITED STATES 30004 AA |
| Mailing Address |
3442 Francis Rd Ste 130 Alpharetta GA 30004-5932 |
| Practice Telephone | 7703633193 |
| Mailing Telephone | 7703633193 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MT003693 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467722686 | Rena Wilson | Home Health Aide | 7600 Georgia Ave Nw, Suite 323, Washington, DC 20012-1616 | 2012-01-04 |
| Street Address |
3442 FRANCIS ROAD SUITE 130 |
| City | ALPHARETTA |
| State | UNITED STATES |
| Zip Code | 30004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| 1093053571 | Ascenda Biosciences, LLC | Clinical Medical Laboratory | 2001 Westside Pkwy Ste 240, Alpharetta, GA 30004 | 2013-01-18 |
| Find all providers in zip 30004 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720358401 | Pain & Wellness Center of North Fulton | Neuromusculoskeletal Medicine, Sports Medicine | 4180 Old Milton Pkwy, 1c, Alpharetta, GA 30005-2408 | 2012-01-11 |
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on RENA WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.