RUSSELL WILSON, MD

Surgery

Active Individual
NPI: 1427057736

Practice Address

1265 HIGHWAY 54 W STE 500B
Fayetteville, GA 30214

Phone: (770) 719-5660

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 040590 (GA)

Frequently Asked Questions

NPI 1427057736 is the National Provider Identifier for RUSSELL WILSON, MD, a Surgery provider located in Fayetteville, GA. This NPI was enumerated on July 19, 2005.
RUSSELL WILSON, MD practices at 1265 HIGHWAY 54 W STE 500B, Fayetteville, GA 30214.

Quick Facts

NPI
1427057736
Type
Individual
Enumerated
Jul 19, 2005
Last Updated
Apr 28, 2025

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