Wilson, Steven Lamar
Wilson, Steven Lamar is an sole proprietor health care provider with primary practice located at 4059 Columbia Rd , Martinez GA 30907-2221. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Steven Lamar can be contacted via phone (706) 863-9445.Contact Information
Primary practice address
4059 Columbia Rd
Martinez GA 30907-2221
Phone: (706) 863-9445
Fax: (706) 863-7452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8466 | Georgia |
Profile Details
| NPI number | 1811957376 |
|---|---|
| LBN Legal business name | Wilson, Steven Lamar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Mar 2nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811957376 | NPPES |
| Georgia | MEDICAID | 00064424A |
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