Individual
HALEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8449
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13169
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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