| Doctor Name: | KATHY P WILCOX |
| NPI Number: | 1154426088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, BSN, WHNP |
| License Number: | RN044238 |
| Business Practice Address: | 4000 Vineville Ave Macon, GA - 312105038 |
| Business Phone Number: | 4784779412 |
| Business Fax Number: | |
| Mailing Address: | 3025 Breckinridge Blvd, Suite 120 DULUTH |
| State: | GA |
| Postal Code: | 300967611 |
| Phone Number: | 6782260022 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | RN044238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |