Individual
DR. JAMES OSCAR WILDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S. MARKET ST., CHARLESTON, MS 38921
(662) 625-7118
(662) 647-8954
Mailing address
201 S. MARKET ST., CHARLESTON, MS 38921
(662) 625-7118
(662) 647-8954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22475
MS
207Q00000X
Family Medicine Physician
23852
OK
Other
Enumeration date
08/20/2006
Last updated
05/13/2014
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