Dawn Wilson, M.D. Valid NPI

Individual provider · Adult Medicine Physician · Lake City, GA

NPI

1053486456

Type

Individual (Type 1)

Primary specialty

Adult Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QA0505X

License number

047279 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-21

Last updated

2007-07-08