Search › Georgia › 208600000X
Russell Wilson, MD
NPI 1427057736 · on the registry since 2005
Practice
- Address
- 1265 Highway 54 W Ste 500b
Fayetteville, GA 30214 - Phone
- (770) 719-5660
- Fax
- (678) 336-5955
- Organisation at this address
- Orthoatlanta, Llc
Sdrassisting, Llc
Atlanta Id Group, P.C.
Everest Anesthesia Llc
At Your Assistance, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Additional practice sites
- 2401 Newnan Crossing Blvd E Ste 100, Newnan, GA
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia