Individual
JEAN-PAUL WUILLEUMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2503
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
81701
GA
208600000X
Surgery Physician
82173
SC
208D00000X
General Practice Physician
Primary
81701
GA
Other
Enumeration date
03/27/2015
Last updated
08/13/2024
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