Individual
MADISON R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
107 DECATUR ST, NEWTON, MS 39345-2309
(601) 683-3241
(601) 683-3233
Mailing address
14994 W MAIN ST, LOUISVILLE, MS 39339-2616
(662) 446-9000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1125
MS
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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