Individual
DONALD E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
204 S MAIN ST, SWAINSBORO, GA 30401-3648
(478) 237-6621
(478) 237-2217
Mailing address
PO BOX 1128, SWAINSBORO, GA 30401-1128
(478) 237-3609
(478) 237-3609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11077
GA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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