Dr. Nicole Edith Wilson
Foot & Ankle Surgery
204 Westside Dr
Douglas
, Georgia 31533-3528
Dr. Nicole Edith Wilson
Foot & Ankle Surgery
204 Westside Dr
Douglas
, Georgia 31533-3528
(912) 389-1817
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Nicole Edith Wilson
- 204 Westside Dr
- Douglas, GA
- Zip : 31533-3528
- Fax : (912) 389-1817
- Phone : (912) 384-4121
Second Address
- Dr. Nicole Edith Wilson
- 204 Westside Dr
- Douglas, GA
- Zip : 31533-3528
- Fax : (912) 389-1817
- Phone : (912) 384-4121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | POD001284 | GA |
National Provider Identifier
| NPI | 1073806956 |
|---|---|
| Provider Name | Dr. Nicole Edith Wilson |
| First Address | Douglas, GA 31533-3528 |
| Second Address | Douglas, GA 31533-3528 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2011 |
| Last Update Date | 25/02/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.