Carmen J Wilson Md Pc

LBN: Carmen J Wilson Md Pc
Carmen J Wilson Md Pc is an health care organization with primary practice located at 1760 Candler Rd Suite D, Decatur GA 30032-3254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Carmen J Wilson Md Pc can be contacted via phone (678) 914-4733, or through Wilson, Carmen J via phone (866) 779-3937.

Contact Information

Primary practice address
1760 Candler Rd Suite D Decatur GA 30032-3254
Phone: (678) 914-4733
Fax: (404) 286-2020
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Carmen J Doctor of Medicine (MD)
Phone: (866) 779-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 044609 Georgia

Profile Details

NPI number 1053513911
LBN Legal business name Carmen J Wilson Md Pc
DBA Doing business as
Authorized official Wilson, Carmen J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Feb 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053513911 NPPES
Georgia Other 10064121 AMERIGROUP
Georgia MEDICAID 000791249C AMERIGROUP
Georgia Other 188DGMX AMERIGROUP
Georgia Other 290982 AMERIGROUP

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