Organization
KIMBERLEY E. WILSON, LLC
Active
Other names
Kimberley E. Wilson, MD
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY E WILSON MD (OWNER)
(404) 351-2551
Entity
Organization
Contact information
Practice address
2001 PEACHTREE RD NE STE 600, ATLANTA, GA 30309-1424
(404) 351-2551
Mailing address
2001 PEACHTREE RD NE STE 600, ATLANTA, GA 30309-1424
(404) 351-2551
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31363
LICENSE
—
Enumeration date
01/31/2020
Last updated
01/31/2020
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