Individual provider · Type 1 NPI
Johanna Daisy Wilson, PA-C
Medical Physician Assistant · Alpharetta, GA
NPI number
1861238586
Active
Practice location
12315 Crabapple Rd Ste 108
Alpharetta, GA 30004-6330
Mailing address
830 Jardin Ct
Alpharetta, GA 30022-4608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1861238586
Johanna Daisy Wilson, PA-C's National Provider Identifier is 1861238586, issued on Jul 2, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Alpharetta, GA. The record was last updated on Mar 12, 2025.