Individual
JOSEPH BRANNON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
(770) 944-6469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11855
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/07/2023
Last updated
09/17/2024
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