Eric Wilson MD

NPI 1063526507 - Family Medicine - 207Q00000X

NPI Details
NPI 1063526507
Gender Male
Enumeration Date 08/19/2006
Last Updated 12/31/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
5440 HILLANDALE DRIVE
KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA GA, 30058, US
Phone (770) 322-2777
Fax (706) 549-5981
Business Location
3495 PIEDMONT ROAD, NE
NINE PIEDMONT CENTER
ATLANTA GA, 30305, US
Phone (404) 364-7070
Fax (706) 549-5981
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 030694
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According to our database, Dr. Eric Wilson MD NPI is 1063526507, taxonomy code is 207Q00000X and license number is 030694, license state is located at Georgia. Eric Wilson MD physically located at 5440 Hillandale Drive, Lithonia GA, 30058. NPI Number Eric Wilson MD has the Individual type.

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1063526507 NPI number is provided on an as is basis without warranty of any kind. 1063526507 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Wilson MD are for informational purposes only.