Jerry Dewayne Wilson, PA-C
NPI #1619153210 in Tucker, Georgia
Provider Information
- NPI Number
- 1619153210
- Entity Type
- Individual
- Name
- Jerry Dewayne Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Dec 6, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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