Individual
AHSTAWN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5150 E MAIN ST, COLUMBUS, OH 43213-2441
(740) 777-4693
Mailing address
5150 E MAIN ST, COLUMBUS, OH 43213-2441
(740) 777-4693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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