person
Lisa A Wilson, PA-C
Surgical Physician Assistant in Fort Stewart, Georgia
NPI 1558363275

Lisa A Wilson is a Surgical Physician Assistant based in Ft. Stewart, GA and is specialized in Surgical. Lisa A Wilson practices in Fort Stewart, GA and has the professional credentials of PA-C. The NPI Number for Lisa A Wilson is 1558363275 and holds a License No. 003755 (Georgia).

The current practice location address for Lisa A Wilson is 1061 Harmon Ave Dept General, Fort Stewart, GA and can be reached out via phone at 912-435-5595 and via fax at 912-435-6305.

Location: 1061 Harmon Ave Dept General, Fort Stewart, GA, 31314-5674
person
Provider Profile Details
NPI Number
1558363275
Provider Name
Lisa A Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1061 Harmon Ave Dept General, Fort Stewart, GA, 31314-5674
Phone Number
912-435-5595
Fax Number
912-435-6305
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
753648566A 05 GA
institution
Provider Business Practice Location Address Details
Address
1061 Harmon Ave Dept General
City
State
Zip
31314-5641
Phone Number
912-435-5595
Fax Number
912-435-6305
person
Provider Business Mailing Address Details
Address
1061 Harmon Ave Dept General
City
State
Zip
31314-5641
Phone Number
912-435-5595
Fax Number
912-435-6305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
003755 (Georgia)
Definition
Definition to come...
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