Individual
MR. ROBERT C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 746-7577
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036042
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
036042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000660624C
—
GA
01
—
597085
BCBS OF GA
GA
Enumeration date
03/08/2006
Last updated
03/01/2022
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