James Keenan Wilson
Emergency Physician General Practice Physician
500 Veterans Memorial Blvd S
Eupora
, Mississippi 39744-2215
James Keenan Wilson
Emergency Physician General Practice Physician
500 Veterans Memorial Blvd S
Eupora
, Mississippi 39744-2215
(662) 508-5061
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About
Features
Specialties
- Emergency Physician
- General Practice Physician
Languages spoken
- English
Location
First Address
- James Keenan Wilson
- 307 College St
- Winona, MS
- Zip : 38967-1901
- Phone : (662) 508-5061
Second Address
- James Keenan Wilson
- 500 Veterans Memorial Blvd S
- Eupora, MS
- Zip : 39744-2215
- Fax : (662) 258-9291
- Phone : (662) 258-6221
Reviews
FAQs
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Is James Keenan Wilson a sole practitioner?
Is James Keenan Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 14441 | MS |
| N | 208D00000X | General Practice Physician | 14441 | MS |
National Provider Identifier
| NPI | 1003841354 |
|---|---|
| Provider Name | James Keenan Wilson |
| First Address | Winona, MS 38967-1901 |
| Second Address | Eupora, MS 39744-2215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 13/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0113851 | (05) | MS |
| F85487 | (02) |
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.