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Individual
DR. JOHN HINTON WILSON
Active
Individual
DR. JOHN HINTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12047
GA
1223P0300X
Periodontics
Primary
DN012047
GA
Other
Enumeration date
04/07/2006
Last updated
09/30/2015
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