Individual
DR. BRYANT W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 COLLIER RD NW, SUITE 6015, ATLANTA, GA 30309-1796
(404) 351-5959
(404) 351-8526
Mailing address
95 COLLIER RD NW, SUITE 6015, ATLANTA, GA 30309-1796
(404) 351-5959
(404) 351-8526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
029824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441361B
—
GA
Enumeration date
06/07/2006
Last updated
12/13/2010
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