Wilson, James W

Wilson, James W is an individual health care provider with primary practice located at 210 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wilson, James W can be contacted via phone (912) 644-5300.

Contact Information

Primary practice address
210 E Derenne Ave Savannah GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 046013 Georgia

Profile Details

NPI number 1508839416
LBN Legal business name Wilson, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 6th, 2017 - about 8 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 1508839416 NPPES
Georgia MEDICAID 000795825G
Georgia MEDICAID G46013
Georgia MEDICAID 00795825A

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