Organization
MIDTOWN SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN R WILSON M.D. (OWNER)
(404) 343-1649
Entity
Organization
Contact information
Practice address
197 14TH ST NW, SUITE 100, ATLANTA, GA 30318
(404) 343-1649
(404) 343-6615
Mailing address
197 14TH STREET NW, SUITE 100, ATLANTA, GA 30318
(404) 343-1649
(404) 343-6615
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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