Shirley Diann Wilson M.D.

NPI 1790711851 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1790711851
Gender Female
Enumeration Date 06/23/2006
Last Updated 08/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 STARLING ST
SUITE 606
BRUNSWICK GA, 31520-4219, US
Phone (912) 466-5636
Fax (912) 466-5639
Business Location
2500 STARLING ST
SUITE 606
BRUNSWICK GA, 31520-4219, US
Phone (912) 466-5636
Fax (912) 466-5639
Toxanomy
Taxonomy Code 207V00000X
License State Georgia
License Number 034742
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According to our database, Shirley Diann Wilson M.D. NPI is 1790711851, taxonomy code is 207V00000X and license number is 034742, license state is located at Georgia. Shirley Diann Wilson M.D. physically located at 2500 Starling St, Brunswick GA, 31520-4219. NPI Number Shirley Diann Wilson M.D. has the Individual type.

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1790711851 NPI number is provided on an as is basis without warranty of any kind. 1790711851 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Diann Wilson M.D. are for informational purposes only.