Wilson, Britt Callahan

Wilson, Britt Callahan is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilson, Britt Callahan can be contacted via phone (770) 836-9660.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 836-9660
Fax: (770) 812-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 041389 Georgia

Profile Details

NPI number 1699740365
LBN Legal business name Wilson, Britt Callahan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740365 NPPES
Georgia Other 595031 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 000708628A BLUE CROSS BLUE SHIELD

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