Individual
MR. GEORGE EDWARD WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2015 NW 35TH TER, GAINESVILLE, FL 32605-3644
(352) 384-1264
Mailing address
2015 NW 35TH TER, GAINESVILLE, FL 32605-3644
(352) 384-1264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9192643
FL
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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