Individual
MR. GEORGE SCOTT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
356 E LINCOLN WAY, LISBON, OH 44432-1443
(330) 420-0200
(330) 420-0210
Mailing address
356 E LINCOLN WAY, LISBON, OH 44432-1443
(330) 420-0200
(330) 420-0210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OH34006974W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154056
—
OH
Enumeration date
07/05/2005
Last updated
03/03/2008
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