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Leroy A Wilson M D P C
Clinic/Center in Atlanta, Georgia
NPI 1225204480

Leroy A Wilson M D P C is a Clinic/Center based in Atlanta, GA. Leroy A Wilson M D P C practices in Atlanta, GA. The NPI Number for Leroy A Wilson M D P C is 1225204480 and holds a License No. 12594 (Georgia).

The current practice location address for Leroy A Wilson M D P C is 315 Boulevard Ne, Atlanta, GA and can be reached out via phone at 404-659-1234 and via fax at 404-659-0640.

Location: 315 Boulevard Ne, Atlanta, GA, 30312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225204480
Provider Name
Leroy A Wilson M D P C
Credential
Provider Entity Type
Organization
Address
315 Boulevard Ne, Atlanta, GA, 30312
Phone Number
404-659-1234
Fax Number
404-659-0640
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
315 Boulevard Ne
City
Atlanta
State
Georgia
Zip
30312
Phone Number
404-659-1234
Fax Number
404-659-0640
person
Provider Business Mailing Address Details
Address
315 Boulevard Ne
City
Atlanta
State
Georgia
Zip
30312
Phone Number
404-659-1234
Fax Number
404-659-0640
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
12594 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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