Search › Georgia › 122300000X
John Wilson
NPI 1871164145 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4059 Columbia Rd
Martinez, GA 30907 - Phone
- (706) 863-9445
- Fax
- (706) 863-7452
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-05
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