Organization
WILSON ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D WILSON (PRESIDENT)
(706) 957-2782
Entity
Organization
Contact information
Practice address
2430 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4501
(706) 494-7700
(706) 494-8800
Mailing address
PO BOX 8866, GREENSBORO, NC 27419-0866
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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