Wilson, Clay H

Wilson, Clay H is an individual health care provider with primary practice located at 820 St. Sebastian Way Suite 8A, Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wilson, Clay H can be contacted via phone (706) 722-6900.

Contact Information

Primary practice address
820 St. Sebastian Way Suite 8A Augusta GA 30901
Phone: (706) 722-6900
Fax: (706) 722-5118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 043510 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 13568 South Carolina

Profile Details

NPI number 1134106925
LBN Legal business name Wilson, Clay H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 5th, 2014 - about 10 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 1134106925 NPPES
Georgia MEDICAID 000749911AC
Georgia MEDICAID 000749911M
Georgia Other 338224
Georgia MEDICAID 000749911AE
Georgia MEDICAID 000749911AF
Georgia MEDICAID 000749911K
Georgia MEDICAID 000749911P
Georgia MEDICAID 000951915E
Georgia Other 10058037
Georgia Other 1134106925
Georgia MEDICAID G43510
Georgia MEDICAID 000749911A
Georgia MEDICAID 000749911AB
Georgia MEDICAID 000749911AD
Georgia MEDICAID 000749911AG
Georgia MEDICAID 000951915B
Georgia MEDICAID 000951915C
Georgia MEDICAID 000749911AH
Georgia MEDICAID 000749911AI
Georgia Other 390005010

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