Organization
D. WILSON INC.
Active
Other names
Elite Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILSON (OWNER)
(912) 557-1087
Entity
Organization
Contact information
Practice address
121 SOUTH MAIN STREET UNIT A, REIDSVILLE, GA 30453
(912) 557-1087
(912) 557-1087
Mailing address
PO BOX 2386, REIDSVILLE, GA 30453-2386
(912) 557-1087
(912) 557-1087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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