Individual
CHARLES J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Mailing address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16578
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123305
—
MS
01
—
203211285
TAX IDENTIFICATION NUMBER
MS
Enumeration date
05/11/2006
Last updated
10/05/2015
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