Heather M Wilson in Brunswick - General Practice
Heather M Wilson - NPI 1861511917
Heather M Wilson is a General Practice in Brunswick, Georgia. Heather M Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Heather M Wilson is 1861511917. The last update date is 2007-07-09.
Heather M Wilson's current location address is 1515 Tillman Ave, Brunswick, Georgia. You can contact this provider via phone number 9122620542 and fax number 9122626538. The mailing address for Heather M Wilson is 1515 Tillman Ave, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather M Wilson |
|---|---|
| Address | 1515 Tillman Ave, Brunswick, Georgia |
| Phone Number | 9122620542 |
| Fax Number | 9122626538 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1861511917 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1515 Tillman Ave |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315206933 |
| Phone Number | 9122620542 |
| Fax Number | 9122626538 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DNO12937 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DORAL | GA | MED |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather M Wilson by the Centers for Medicare & Medicaid Services?
The Heather M Wilson has been issued the NPI (National Provider Identifier) 1861511917, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Heather M Wilson is physically located?
The Heather M Wilson is physically situated at the following address: 1515 Tillman Ave, Brunswick, GA, 315206933.
What is Heather M Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Heather M Wilson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When was the Heather M Wilson's 1861511917 issued?
The Heather M Wilson's 1861511917 was issued on 2007-03-28.
As of what date were the details related to Heather M Wilson most recently updated or revised?
The information pertaining to Heather M Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC