Individual
JOSEPH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
86 NORMAS WAY, HIRAM, GA 30141-4632
(770) 570-0100
Mailing address
86 NORMAS WAY, HIRAM, GA 30141-4632
(770) 570-0100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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