Lisa A Wilson is a Surgical in Ft. Stewart, Georgia. Lisa A Wilson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lisa A Wilson is 1558363275. The last update date is 2023-08-22.
Lisa A Wilson's current location address is 1061 Harmon Ave. Ste 1d03, Ft. Stewart, Georgia. You can contact this provider via phone number 9124355595 and fax number 9124355646. The mailing address for Lisa A Wilson is 1061 Harmon Ave. Ste 1d03, Ft. Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Wilson |
|---|---|
| Address | 1061 Harmon Ave. Ste 1d03, Ft. Stewart, Georgia |
| Phone Number | 9124355595 |
| Fax Number | 9124355646 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558363275 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 1061 Harmon Ave. Ste 1d03 |
|---|---|
| City | Ft. Stewart |
| State | Georgia (GA) |
| Post Code | 313145674 |
| Phone Number | 9124355595 |
| Fax Number | 9124355646 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3755 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753648566A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lisa A Wilson by the Centers for Medicare & Medicaid Services?
The Lisa A Wilson has been issued the NPI (National Provider Identifier) 1558363275, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa A Wilson's facilities are geographically located?
The facilities of Lisa A Wilson are physically situated at the following location: 1061 Harmon Ave. Ste 1D03, Ft. Stewart, GA, 313145674.
What is Lisa A Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa A Wilson is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Lisa A Wilson receive its 1558363275 assignment from the Centers for Medicare & Medicaid Services?
The Lisa A Wilson was assigned its 1558363275 by the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the information regarding Lisa A Wilson most recently updated?
The details pertaining to the Lisa A Wilson, including its address, specialty, and other relevant information, were last refreshed on 2023-08-22.
NPI Number: 1720081763
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