Individual
DR. JACOB WESLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2494 JETT FERRY RD, SUITE #103, DUNWOODY, GA 30338-3090
(404) 805-5961
Mailing address
2494 JETT FERRY RD, SUITE #103, DUNWOODY, GA 30338-3090
(404) 805-5961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008587
GA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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