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Demetirus Legail Wilson
Home Health Aide in Ringgold, Georgia
NPI 1699250225

Demetirus Legail Wilson is a Home Health Aide based in Ringgold, GA. Demetirus Legail Wilson practices in Ringgold, GA. The NPI Number for Demetirus Legail Wilson is 1699250225 and holds a License No. 066777 (Georgia).

The current practice location address for Demetirus Legail Wilson is 73 Mallard Hl, Ringgold, GA and can be reached out via phone at 423-503-4507.

Location: 73 Mallard Hl, Ringgold, GA, 30736-4964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699250225
Provider Name
Demetirus Legail Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
73 Mallard Hl, Ringgold, GA, 30736-4964
Phone Number
423-503-4507
Fax Number
Provider Enumeration Date
09/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474763392 01 TN CITY OF CHATTANOOGA
institution
Provider Business Practice Location Address Details
Address
73 Mallard Hl
City
Ringgold
State
Georgia
Zip
30736-4964
Phone Number
423-503-4507
Fax Number
person
Provider Business Mailing Address Details
Address
73 Mallard Hl
City
Ringgold
State
Georgia
Zip
30736-4964
Phone Number
423-503-4507
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
066777 (Tennessee)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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