Individual
MR. ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 251-8848
Mailing address
2150 SONOMA DR SE, SMYRNA, GA 30080-2442
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
PENDING
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN237023
GA
Other
Enumeration date
10/04/2021
Last updated
02/07/2022
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