Wilson, Curtis Winfred

Wilson, Curtis Winfred is an individual health care provider with primary practice located at 3131 S Main St , Moultrie GA 31768-6925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wilson, Curtis Winfred can be contacted via phone (229) 891-9131.

Contact Information

Primary practice address
3131 S Main St Moultrie GA 31768-6925
Phone: (229) 891-9131
Fax: (229) 891-9079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R086052 Georgia

Profile Details

NPI number 1205855871
LBN Legal business name Wilson, Curtis Winfred
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 26th, 2008 - about 17 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 1205855871 NPPES
Georgia MEDICAID 00693063B
Georgia Other R086052
Georgia MEDICAID 000693063D
Georgia MEDICAID 000693063C

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