NPI
Wildwine Belizaire
NPI 1356032056
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- FNP
- Type
- Individual
- Enumeration date
- 2023-05-15
- Last updated
- 2026-07-18
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Specialties
Licenses
- License GA
- RN315873
Location
- Practice location
- 7560 Butner Rd
- City
- Fairburn GA
- Postal code
- 30213-1914
- Phone
- (800) 266-8874
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fairburn, GA. 433 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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