Wilson, Elizabeth Robin

Wilson, Elizabeth Robin is an individual health care provider with primary practice located at 916 S Broad St , Thomasville GA 31792-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wilson, Elizabeth Robin can be contacted via phone (229) 226-8800.

Contact Information

Primary practice address
916 S Broad St Thomasville GA 31792-6113
Phone: (229) 226-8800
Fax: (229) 226-1660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN123110 Georgia

Profile Details

NPI number 1154528685
LBN Legal business name Wilson, Elizabeth Robin
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated May 14th, 2015 - 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 1154528685 NPPES
Georgia MEDICAID 217056732B
Georgia Other RN123110
Georgia MEDICAID 217056732A

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