Dawn Wilson is a Adult Medicine in Lake City, Georgia. Dawn Wilson practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Dawn Wilson is 1053486456. The last update date is 2007-07-08.
Dawn Wilson's current location address is 5499 Jonesboro Rd, Lake City, Georgia. You can contact this provider via phone number 7708568736 and fax number 4043634348. The mailing address for Dawn Wilson is 5499 Jonesboro Rd, Lake City, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn Wilson |
|---|---|
| Address | 5499 Jonesboro Rd, Lake City, Georgia |
| Phone Number | 7708568736 |
| Fax Number | 4043634348 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053486456 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5499 Jonesboro Rd |
|---|---|
| City | Lake City |
| State | Georgia (GA) |
| Post Code | 302603553 |
| Phone Number | 7708568736 |
| Fax Number | 4043634348 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 47279 |
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What is the Dawn Wilson's unique identification number?
The Dawn Wilson has been assigned the NPI (National Provider Identifier) Number 1053486456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Dawn Wilson?
The Dawn Wilson is physically situated at 5499 Jonesboro Rd, in the city of Lake City, state of GA, with the postal code 302603553.
What is the Dawn Wilson's specialty and taxonomy code?
The Dawn Wilson's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Dawn Wilson receive the assignment of its 1053486456 from the Centers for Medicare & Medicaid Services?
The Dawn Wilson was issued its 1053486456 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details pertaining to Dawn Wilson last refreshed?
The information related to the Dawn Wilson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC