IndividualActive
Candice Wilson, PT
NPI 1902304439 · Orthopedic Physical Therapist · Macon, GA
Provider details
- NPI number
- 1902304439
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT007137 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3708 Northside Dr
Macon, GA 31210-2404
Phone: (478) 745-4206
Fax: (478) 832-6506
Approximate (ZIP-level) locationGet directions
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.