Individual
DR. JAMES G. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE/DIVISION OF RHEUMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5540
Mailing address
1867 CRANE RIDGE DR STE 150A, UNIVERSITY INTERNAL MEDICINE ASSOCIATES, LLP, JACKSON, MS 39216-4982
(601) 987-3988
(601) 987-4165
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
07382
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115310
—
MS
Enumeration date
06/29/2006
Last updated
07/08/2007
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