Individual
DR. GRANT CHRISTOPHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
105 SILVER PT, HATTIESBURG, MS 39402-1238
(601) 467-6324
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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