Individual
DARRYEL ALEXANDER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14779 BROWN BRIDGE RD, COVINGTON, GA 30016-4127
(770) 788-7777
Mailing address
2465 WALL ST SE, CONYERS, GA 30013-6342
(770) 231-9413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95240
GA
Other
Enumeration date
05/24/2019
Last updated
05/31/2023
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