Individual
DR. JAMES W WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 E DERENNE AVENUE, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
046013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000795825G
—
GA
05
—
00795825A
—
GA
05
—
G46013
—
SC
Enumeration date
02/10/2006
Last updated
06/06/2017
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