Individual
JAY D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(740) 589-3100
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5000
(740) 446-5586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1328
WV
363A00000X
Physician Assistant
Primary
50.008721RX
OH
Other
Enumeration date
11/13/2007
Last updated
04/19/2024
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