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John Wilcox

NPI 1609392141 · on the registry since 2017 · sole proprietor

Practice

Address
4999 Prestley Mill Rd
Douglasville, GA 30135
Phone
(678) 383-7546
Organisation at this address
Aegis Group Practice, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-16

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