Individual
MR. JAMES MICHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
121 E 4TH ST, OCILLA, GA 31774-1542
(229) 468-5929
(229) 468-7313
Mailing address
371 MCCRANIE RD, OCILLA, GA 31774-2713
(229) 468-5929
(229) 468-7313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH01000
GA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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