Wilson, Eric

Wilson, Eric is an individual health care provider with primary practice located at 5440 Hillandale Dr Kaiser Permanente Panola Medical Center, Lithonia GA 30058-4865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Eric can be contacted via phone (770) 322-2777.

Contact Information

Primary practice address
5440 Hillandale Dr Kaiser Permanente Panola Medical Center Lithonia GA 30058-4865
Phone: (770) 322-2777
Fax: (706) 549-5981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030694 Georgia

Profile Details

NPI number 1063526507
LBN Legal business name Wilson, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jan 10th, 2022 - about 3 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 1063526507 NPPES
Georgia MEDICAID 00381917D
Georgia Other 481143
Georgia MEDICAID 00381917C
Georgia Other 4491297
Georgia Other 080184143

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