NPI 1003176082

Joli Ann Wilson, DO

Practitioner Pediatrics Physician Austell, GA

Practice location

Address: 3950 Austell Rd, Austell, GA 30106-1121
Phone: (770) 732-4000
Mailing address: 1805 Parke Plaza Cir STE 103, Stone Mountain, GA 30087

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 72821 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003176082
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2012
Record last updated: 29 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.