Individual
ELIJAH COLYER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM-D
Contact information
Practice address
2350 CHESHIRE BRIDGE RD NE, ATLANTA, GA 30324-3787
(404) 486-7289
Mailing address
2350 CHESHIRE BRIDGE RD NE, ATLANTA, GA 30324-3787
(404) 486-7289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026427
GA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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