Matthew J. Wilson M.D.

NPI 1003093600 - Internal Medicine - 207RC0000X

NPI Details
NPI 1003093600
Gender Male
Enumeration Date 01/25/2008
Last Updated 09/14/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
755 MT VERNON HWY
SUITE 530
ATLANTA GA, 30328, US
Phone (404) 252-7970
Fax (404) 250-0553
Business Location
755 MT VERNON HWY
SUITE 530
ATLANTA GA, 30328-4274, US
Phone (404) 252-7970
Fax (404) 250-0553
Toxanomy
Taxonomy Code 207RC0000X
License State Georgia
License Number 054294
Remove 1003093600 NPI Number
 

According to our database, Dr. Matthew J. Wilson M.D. NPI is 1003093600, taxonomy code is 207RC0000X and license number is 054294, license state is located at Georgia. Matthew J. Wilson M.D. physically located at 755 Mt Vernon Hwy, Atlanta GA, 30328. NPI Number Matthew J. Wilson M.D. has the Individual type.

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1003093600 NPI number is provided on an as is basis without warranty of any kind. 1003093600 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew J. Wilson M.D. are for informational purposes only.