Individual
DR. LYTANI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
505 IRVIN CT STE 200, DECATUR, GA 30030-1780
(404) 778-0641
(404) 299-7499
Mailing address
505 IRVIN CT STE 200, DECATUR, GA 30030-1780
(404) 778-0641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86711
GA
Other
Enumeration date
06/20/2018
Last updated
10/03/2024
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