Organization
CHATHAM ORAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C WILSON DMD (PARTNER)
(912) 354-1515
Entity
Organization
Contact information
Practice address
501 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-1515
(912) 354-8181
Mailing address
501 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-1515
(912) 354-8181
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00786376C
—
GA
Enumeration date
04/16/2007
Last updated
03/08/2022
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