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Individual

DR. DAWN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(770) 856-8736
(404) 363-4348
Mailing address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(770) 856-8736
(404) 363-4348

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
047279
GA

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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