Organization
JOHN W. WILSON, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESLEY WILSON JR. PSYD (OWNER/MANAGER)
(404) 246-1257
Entity
Organization
Contact information
Practice address
3115 ROSWELL RD, SUITE 201, MARIETTA, GA 30062-7605
(404) 246-1257
Mailing address
1815 ANNWICKS DR, MARIETTA, GA 30062-5407
(404) 246-1257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY003201
GA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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