Individual
DR. PETER J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1415 BARCLAY CIR SE, MARIETTA, GA 30060-2943
(770) 426-2786
(770) 792-6113
Mailing address
509 LOVINGGOOD CT, WOODSTOCK, GA 30189-7410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR0002120
GA
111NI0900X
Internist Chiropractor
Primary
2120
GA
Other
Enumeration date
03/07/2007
Last updated
04/07/2021
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