Individual
ADAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4500 N SHALLOWFORD RD STE B, ATLANTA, GA 30338-6476
(404) 727-8843
Mailing address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 727-8843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77222
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/04/2014
Last updated
08/08/2017
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