Individual provider · Type 1 NPI
Nicole Edith Wilson, D.P.M.
Foot & Ankle Surgery Podiatrist · Douglas, GA
NPI number
1073806956
Active
Practice location
204 Westside Dr
Douglas, GA 31533-3528
Fax (912) 389-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD001284 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1073806956
Nicole Edith Wilson, D.P.M.'s National Provider Identifier is 1073806956, issued on May 25, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Douglas, GA. The record was last updated on Feb 25, 2016.