Dr John T Wilson Pc

LBN: Dr John T Wilson Pc
Dr John T Wilson Pc is an health care organization with primary practice located at 1515 Tillman Ave , Brunswick GA 31520-6933. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr John T Wilson Pc can be contacted via phone (912) 262-0542, or through Wilson, Paige via phone (912) 262-0542.

Contact Information

Primary practice address
1515 Tillman Ave Brunswick GA 31520-6933
Phone: (912) 262-0542
Fax: (912) 262-6538
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Paige
Phone: (912) 262-0542

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 010583 Georgia
Dental Providers / Dentist 122300000X DNO12937 Georgia

Profile Details

NPI number 1275662439
LBN Legal business name Dr John T Wilson Pc
DBA Doing business as
Authorized official Wilson, Paige
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 20th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275662439 NPPES
Georgia MEDICAID 00353768B
Georgia MEDICAID 774804023B
Georgia Other 9180215
Georgia MEDICAID 000353768C
Georgia MEDICAID 774804023A
Georgia Other 9180264

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