Organization
LATRESIA A. WILSON, MD, PA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRESIA WILSON MD (OWNER)
(478) 475-1299
Entity
Organization
Contact information
Practice address
3330 NW 2ND AVE, OCALA, FL 34475-2652
(478) 475-1299
Mailing address
PO BOX 26040, MACON, GA 31221-6040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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