Individual
DAVID BAILEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 REDMOND RD NW, ROME, GA 30165-1416
(706) 233-8508
(706) 233-8509
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
066339
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111624A
—
GA
Enumeration date
01/26/2006
Last updated
05/08/2020
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