Individual
MR. GREGORY WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
595 HURRICANE SHOALS RD NW, LAWRENCEVILLE, GA 30046-8761
(770) 995-7802
Mailing address
1269 NATHAN MAULDIN DR, LAWRENCEVILLE, GA 30043-7249
(678) 468-8672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN219542
GA
Other
Enumeration date
01/05/2020
Last updated
02/05/2026
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