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Individual
MARION A WILLS
Active
Individual
MARION A WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
049597
GA
208000000X
Pediatrics Physician
Primary
52223
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000919256A
—
GA
05
—
000919256D
—
GA
05
—
000919256E
—
GA
01
—
117546
PEACHSTATE MEDICAID
GA
05
—
300035718A
—
GA
01
—
374160
WELLCARE MEDICAID
GA
05
—
522232
—
SC
01
—
830853
BCBS GEORGIA
GA
Enumeration date
07/14/2006
Last updated
09/29/2026
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