Individual provider · Type 1 NPI
Ann Wilson
General Practice Physician · Stockbridge, GA
NPI number
1063317907
Active
Practice location
15 Moore Dr
Stockbridge, GA 30281-2501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 244167 (SC) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Stockbridge
About NPI 1063317907
Ann Wilson's National Provider Identifier is 1063317907, issued on Oct 12, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 12, 2026.