Individual provider · Type 1 NPI
Samuel D. Wilson Iii
Student in an Organized Health Care Education/Training Program · Jefferson, GA
NPI number
1699692988
Active
Practice location
86 Eagle View Dr
Jefferson, GA 30549-7023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1699692988
Samuel D. Wilson Iii's National Provider Identifier is 1699692988, issued on Jun 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson, GA. The record was last updated on Jun 30, 2026.