MEDICARE: DAWN C. WILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	53633	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346237187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN C. WILSON MD

Provider Business Mailing Address
First Line	:	5671 PEACHTREE DUNWOODY RD STE 530
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-5005
Country	:	US
Telephone Number	:	404-257-8601
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 PEACHTREE DUNWOODY RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1764
Country	:	US
Telephone Number	:	678-843-7324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/30/2025

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Directions to “ DAWN C. WILSON MD” Practice Location

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