JONATHAN MARK WILSON

CANTON, GA
NPI1285971234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  Rph026795)
Enumeration Date2013-01-10
Last Update Date2013-01-10
Business Address
-- JONATHAN MARK WILSON PharmD
120 PROMINENCE POINT PKWY
CANTON, GA 30114-9008
Phone number: 770-720-4825
Mailing Address
-- JONATHAN MARK WILSON PharmD
500 SYCAMORE LN APT 207
WOODSTOCK, GA 30188-7319
Phone number: 770-548-8986