Individual
DR. WILLIAM ROBERT WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUILDING 301, 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Mailing address
BUILDING 301, 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67837
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/13/2012
Last updated
08/25/2022
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