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Individual

CHRISTOPHER ERWIN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2675 N DECATUR RD, SUITE 315, DECATUR, GA 30033-6131
(404) 659-5909
(770) 399-9449
Mailing address
5775 GLENRIDGE DR NE, BUILDING B, SUITE 145, ATLANTA, GA 30328-5380
(404) 659-5909
(770) 399-9449

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
047554
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00832653A
GA
Enumeration date
12/30/2005
Last updated
07/08/2007
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