Individual
WILLIAM MARSHALL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2000 HOWARD FARM DR STE 450, CUMMING, GA 30041-6085
(404) 962-6000
Mailing address
371 ASTER TRCE, CANTON, GA 30115-8428
(404) 805-4283
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN265440
GA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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