Carmen J Wilson Md Pc in Fayetteville - Ophthalmology
Carmen J Wilson Md Pc - NPI 1053513911
Carmen J Wilson Md Pc is a Ophthalmology in Fayetteville, Georgia. Carmen J Wilson Md Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Carmen J Wilson Md Pc is 1053513911. The last update date is 2010-02-26.
Carmen J Wilson Md Pc's current location address is 67 Harbour Lake Drive, Fayetteville, Georgia. You can contact this provider via phone number 6789144733 and fax number 7704744620. The mailing address for Carmen J Wilson Md Pc is 67 Harbour Lake Drive, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Carmen J Wilson Md Pc |
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Address | 67 Harbour Lake Drive, Fayetteville, Georgia |
Phone Number | 6789144733 |
Fax Number | 7704744620 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Wilson J Carmen |
Credentials | MD |
Telephone Number | 8667793937 |
NPI Number Detail
NPI Number | 1053513911 |
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Provider Enumeration Date | 2007-06-04 |
Last Updated Date | 2010-02-26 |
Provider Mailing Address Detail
Address | 67 Harbour Lake Drive |
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City | Fayetteville |
State | Georgia (GA) |
Post Code | 30215 |
Phone Number | 6789144733 |
Fax Number | 7704744620 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 44609 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10064121 | GA | AMERIGROUP | |
000791249C | GA | -- | |
188DGMX | GA | MEDICARE PTAN | |
290982 | GA | WELL CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carmen J Wilson Md Pc by the Centers for Medicare & Medicaid Services?
The Carmen J Wilson Md Pc has been issued the NPI (National Provider Identifier) 1053513911, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carmen J Wilson Md Pc located?
The Carmen J Wilson Md Pc is located at 67 Harbour Lake Drive, Fayetteville, GA 30215.
What is Carmen J Wilson Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carmen J Wilson Md Pc is Ophthalmology, and the corresponding taxonomy classification code for this specialized field is 207W00000X.
On what date did the Carmen J Wilson Md Pc receive its 1053513911 assignment from the Centers for Medicare & Medicaid Services?
The Carmen J Wilson Md Pc was assigned its 1053513911 by the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the information regarding Carmen J Wilson Md Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carmen J Wilson Md Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-02-26.
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