Individual
DR. BRANDON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1420 HIGHWAY 76, CHATSWORTH, GA 30705-6392
(706) 695-0518
Mailing address
1420 HIGHWAY 76, CHATSWORTH, GA 30705-6392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034359
GA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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