Wilson, John Keenan

Wilson, John Keenan is an individual health care provider with primary practice located at 300 W Hospital Rd Building 300, Fort Gordon GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, John Keenan can be contacted via phone (706) 787-6945.

Contact Information

Primary practice address
300 W Hospital Rd Building 300 Fort Gordon GA 30905-5741
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01055539A Indiana

Profile Details

NPI number 1922007467
LBN Legal business name Wilson, John Keenan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - 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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