Individual
ALVIN T WILSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-7788
Mailing address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-7788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033494
GA
Other
Enumeration date
05/05/2006
Last updated
02/18/2013
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