Individual
MR. CHARLES OMAR WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 SAMARITAN WAY, JASPER, GA 30143
(706) 253-4673
(706) 253-4675
Mailing address
747 REDFIELD WAY, JASPER, GA 30143
(706) 692-0812
(706) 692-0812
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
050283
GA
Other
Enumeration date
06/23/2010
Last updated
06/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us