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Individual
DR. ROBERT J WILSON
Active
Individual
DR. ROBERT J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038133
GA
207R00000X
Internal Medicine Physician
Primary
MD051413L
PA
207R00000X
Internal Medicine Physician
ME104749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006565876G
—
GA
05
—
103115186
—
PA
01
—
110235293
RAILROAD MEDICARE
GA
01
—
1189235
FIRST HEALTH
GA
01
—
52484977
BCBS GA
GA
05
—
914260600
—
FL
Enumeration date
08/22/2005
Last updated
01/23/2021
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