Charles S Wilson in Gainesville - Specialist

Charles S Wilson - NPI 1316092620

Charles S Wilson is a Specialist in Gainesville, Florida. Charles S Wilson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles S Wilson is 1316092620. The last update date is 2007-07-08.

Charles S Wilson's current location address is 1510 Nw 107th Ter, Gainesville, Florida. You can contact this provider via phone number 3523323893. The mailing address for Charles S Wilson is 1510 Nw 107th Ter, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles S Wilson
Address 1510 Nw 107th Ter, Gainesville, Florida
Phone Number 3523323893
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316092620
Provider Enumeration Date 2007-01-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1510 Nw 107th Ter
City Gainesville
State Florida (FL)
Post Code 326065768
Phone Number 3523323893
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME0046814
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45638100 FL --

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FAQs about Charles S Wilson

What is the unique 10-digit identifier code issued to Charles S Wilson by the Centers for Medicare & Medicaid Services?

The Charles S Wilson has been assigned the NPI (National Provider Identifier) 1316092620 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Charles S Wilson is physically located?

The Charles S Wilson is physically situated at the following address: 1510 Nw 107Th Ter, Gainesville, FL, 326065768.

What is Charles S Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles S Wilson's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Charles S Wilson's 1316092620 issued?

The Charles S Wilson's 1316092620 was issued on 2007-01-24.

As of what date were the details related to Charles S Wilson most recently updated or revised?

The information pertaining to Charles S Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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