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Jerry Wilson, PA-C

NPI 1619153210 · on the registry since 2008 · sole proprietor

Practice

Address
4500 Hugh Howell Rd
Suite
Tucker, GA 30084
Phone
(678) 632-4003
Fax
(678) 681-1305
Organisation at this address
Kelly Keyser, Llc
Trading Faces Llc
Sibley Sisters, Inc.
The Moore Experience
Grateful Hospice Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-12-06

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