Individual
MR. LEWIS CODY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA CERTIFIED
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-1745
Mailing address
PO BOX 945375, ATLANTA, GA 30394-5375
(516) 945-3000
(704) 248-5537
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1487
GA
Other
Enumeration date
12/21/2011
Last updated
06/24/2026
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