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1225204480
LEROY A WILSON M D P C
ATLANTA, GA
NPI
1225204480
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Entity Type
Organization
Authorized Contact
LEROY AUGUSTUS WILSON
President
404-659-1234
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: GA 12594)
Enumeration Date
2008-05-07
Last Update Date
2008-05-07
Business Address
LEROY A WILSON M D P C
315 BOULEVARD NE SUITE 316
ATLANTA, GA 30312
Phone number: 404-659-1234
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Mailing Address
LEROY A WILSON M D P C
315 BOULEVARD NE SUITE 316
ATLANTA, GA 30312
Phone number: 404-659-1234
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