BRENDA W WILSON (NPI# 1689887663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689887663 |
| Entity Type | Individual |
| Full Name | BRENDA W WILSON |
| Credential | M.D. |
| Practice Address |
1650 County Services Pkwy Marietta GA 30008 |
| Mailing Address |
280 Kendemere Pointe Roswell GA 30075 |
| Practice Telephone | 7705142422 |
| Mailing Telephone | 7704904345 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
54700 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1578082764 | Brenda Louise Wilson | Technician | 1200 Delaware Ave Sw Apt 704, Washington, DC 20024-3926 | 2017-09-19 |
| 1932655123 | Brenda Wilson | Physician Assistant | 2418 Allegheny Way, Placentia, CA 92870-1404 | 2016-08-29 |
| 1750793485 | Brenda Joyce Wilson | Home Health Aide | 791 E 156th St, Cleveland, OH 44110-3069 | 2014-05-29 |
| 1710252663 | Brenda Lynn Wilson | Massage Therapist | 1390 Oak St Ste 5, Eugene, OR 97401-3567 | 2012-03-11 |
| 1528367653 | Brenda Michelle Wilson | Counselor | 229 Pollard Rd, Northbridge, MA 01534-1063 | 2011-03-15 |
| 1326379819 | Brenda Joyce Wilson | Counselor | 30 C Street N. E., Miami, OK 74354-3361 | 2010-01-22 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| 1720100464 | Brenda Wilson | Physical Therapist | 100 Robert H. Fiser Dr., Morrilton, AR 72110 | 2007-04-04 |
| 1972130037 | Brenda Louise Wilson | Social Worker | 1008 E Jefferson St, Charlottesville, VA 22902-5328 | 2020-03-26 |
| Street Address |
1650 COUNTY SERVICES PKWY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729707 | Angel Mendoza | Pediatrics | 1650 County Services Pkwy, Marietta, GA 30008-4010 | 2005-06-10 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| 1730173659 | Ann Marie Clark | Marriage & Family Therapist | 224 W Dixie Ave Se, Marietta, GA 30008-2540 | 2005-09-07 |
| 1073098174 | Dina Vanessa Gomez | Behavioral Analyst | 76 W Dixie Ave Se, Marietta, GA 30008-2555 | 2018-09-25 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609266634 | Bruce Gillett | Psychiatry & Neurology | 948 Greymont Cir Nw, Marietta, GA 30064-1328 | 2015-01-29 |
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| 1578618815 | Jawaid Ahsan | Psychiatry & Neurology | 1000 Johnson Ferry Rd., Bldg. E Ste.220, Marietta, GA 30068-0001 | 2007-01-25 |
| 1215027487 | James A Armstrong | Psychiatry & Neurology | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2006-10-16 |
| 1447351051 | Archana Koganti | Psychiatry & Neurology | 780 Canton Rd Ne Ste 400, Marietta, GA 30060 | 2006-09-26 |
| 1508898669 | Jason A. Soriano | Psychiatry & Neurology | 1960 Regents Way, Marietta, GA 30062 | 2006-07-07 |
| 1902885502 | Daniel Joseph Howley | Psychiatry & Neurology | 400 Matthew St Ste 211, Marietta, OH 45750-1656 | 2006-01-11 |
| 1235128984 | Eliahu S Feen | Psychiatry & Neurology | 677 Church Street, Suite 100n, Marietta, GA 30060 | 2005-10-17 |
| 1053303404 | David Scott Whitcomb | Psychiatry & Neurology | 1521 Johnson Ferry Rd, Suite 135, Marietta, GA 30062-6404 | 2005-08-20 |
| 1619362068 | Zachery Williams Rohm | Psychiatry & Neurology | 677 Church St Ne Ste 100n, Marietta, GA 30060-1101 | 2015-04-02 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on BRENDA W 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.