Individual
MS. ASHLEY AIRELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3790 PLEASANT HILL RD STE 150, DULUTH, GA 30096-5144
(678) 414-0400
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12587
GA
Other
Enumeration date
10/01/2024
Last updated
11/11/2024
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