Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janice Wilson

Individual provider Specialist · NPI 1215480215

Janice Wilson is a Specialist in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
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Practice location Address checks out

4055 Brushymill Ct
Loganville, GA 30052
Phone: (770) 334-7396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence NT017440 (GA)

Record details

NPI number1215480215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESJuly 27, 2016

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