MS. Tiny Benita Wilson, FNP is a family nurse practitioner in Conyers, GA. MS. Tiny Benita Wilson, FNP NPI is 1417029133. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2890 GEORGIA HIGHWAY 212 SW STE A360
CONYERS, GA
ZIP 30094
Phone: (770) 601-6892
The NPI 1417029133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/20/2018.