Individual
ROBERT GEORGE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
515 TESSENTEE RD, FRANKLIN, NC 28734
(619) 630-3020
Mailing address
515 TESSENTEE RD, FRANKLIN, NC 28734
(619) 630-3020
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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