Peter S Wilson is a Surgery in Huntsville, Alabama. Peter S Wilson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Peter S Wilson is 1083602130. The last update date is 2018-08-14.
Peter S Wilson's current location address is 4704 Whitesburg Dr Sw Ste 200, Huntsville, Alabama. You can contact this provider via phone number 2568804510 and fax number 2568804512. The mailing address for Peter S Wilson is 4704 Whitesburg Dr Sw Ste 200, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter S Wilson |
|---|---|
| Address | 4704 Whitesburg Dr Sw Ste 200, Huntsville, Alabama |
| Phone Number | 2568804510 |
| Fax Number | 2568804512 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083602130 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2018-08-14 |
Provider Mailing Address Detail
| Address | 4704 Whitesburg Dr Sw Ste 200 |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 35802 |
| Phone Number | 2568804510 |
| Fax Number | 2568804512 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD.15425 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70292 | AL | -- | |
| 20040119 | AL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Peter S Wilson by the Centers for Medicare & Medicaid Services?
The Peter S Wilson has been assigned the NPI (National Provider Identifier) 1083602130. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peter S Wilson located?
The Peter S Wilson is located at 4704 Whitesburg Dr Sw Ste 200, Huntsville, AL 35802.
What is Peter S Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter S Wilson's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083602130 to Peter S Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1083602130 to Peter S Wilson on 2005-10-12.
As of what date were the Peter S Wilson's details last updated?
The information pertaining to the Peter S Wilson, including its address, specialty, and other details, was most recently updated on 2018-08-14.