Individual
DR. HIRAM NATHAN WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1685 MARS HILL ROAD NW, BLDG 200 STE 200, ACWORTH, GA 30101
(770) 919-0930
(770) 919-2309
Mailing address
1685 MARS HILL ROAD NW, BLDG 200 STE 200, ACWORTH, GA 30101
(770) 919-0930
(770) 919-2309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10658
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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