Individual
JILL E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 JOHNSON FERRY ROAD NE, ATLANTA, GA 30342
(404) 785-2008
(404) 785-4496
Mailing address
1001 JOHNSON FERRY ROAD NE, ATLANTA, GA 30342
(404) 785-2008
(404) 785-4496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
055922
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744309857
—
GA
Enumeration date
08/31/2006
Last updated
01/19/2023
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