| Dr John T Wilson Pc | |
|
1515 Tillman Ave Brunswick GA 31520-6933 | |
| (912) 262-0542 | |
| (912) 262-6538 |
| Full Name | Dr John T Wilson Pc |
|---|---|
| Speciality | Dentist |
| Location | 1515 Tillman Ave, Brunswick, Georgia |
| Authorized Official Name and Position | Paige Wilson (CFO) |
| Authorized Official Contact | 9122620542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John T Wilson Pc 1515 Tillman Ave Brunswick GA 31520-6933 Ph: (912) 262-0542 | Dr John T Wilson Pc 1515 Tillman Ave Brunswick GA 31520-6933 Ph: (912) 262-0542 |
| NPI Number | 1275662439 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275662439 | NPI | - | NPPES |
| 00353768B | Medicaid | GA | |
| 774804023B | Medicaid | GA | |
| 9180215 | Other | GA | DORAL |
| 000353768C | Medicaid | GA | |
| 774804023A | Medicaid | GA | |
| 9180264 | Other | GA | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010583 (Georgia) | Primary |
| 122300000X | Dentist | DNO12937 (Georgia) | Secondary |
South Port Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hyde Park Cmns, Brunswick, GA 31523 Phone: 912-342-8404 | |
Golden Isles Center For Exceptional Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Professional Center Dr, Brunswick, GA 31525 Phone: 912-264-5550 Fax: 912-264-5255 | |
Seaside Lifetime Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Juniper Cir, Brunswick, GA 31520 Phone: 912-554-4552 | |
Surfside Kids Pediatric Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 256 Scranton Connector, Ste 110, Brunswick, GA 31525 Phone: 912-272-7656 | |
Howard Family Dental-brunswick, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Altama Connector, Brunswick, GA 31525 Phone: 912-264-8408 | |
Golden Isles Oral Surgery, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Professional Drive, Suite 100, Brunswick, GA 31520 Phone: 912-264-6420 Fax: 912-264-6242 | |
Sea Pines Oral And Facial Surgery, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Fountain Park Cir, Brunswick, GA 31520 Phone: 912-254-4450 Fax: 912-266-8696 |