Mr Charles Omar Wilson Jr, MD - Pathology in Jasper, GA

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Mr Charles Omar Wilson Jr, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Jasper, Georgia. Mr Charles Omar Wilson Jr is licensed to practice in Georgia (license number 050283) and his current practice location is 175 Samaritan Way, Jasper, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 253-4673.

NPI number for Mr Charles Omar Wilson Jr is 1497066518 and his current mailing address is 747 Redfield Way, Jasper, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497066518.

Contact Information

Mr Charles Omar Wilson Jr, MD
175 Samaritan Way,
Jasper, GA 30143
(706) 253-4673
(706) 253-4675

Map and Direction




Physician's Profile

Full NameMr Charles Omar Wilson Jr
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location175 Samaritan Way, Jasper, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497066518
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 06/28/2010

Medical Identifiers

Medical identifiers for Mr Charles Omar Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497066518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 050283 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Omar Wilson Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Omar Wilson Jr, MD
747 Redfield Way,
Jasper, GA 30143

Ph: (706) 692-0812		Mr Charles Omar Wilson Jr, MD
175 Samaritan Way,
Jasper, GA 30143

Ph: (706) 253-4673

Reviews and Comments


Pathology Doctors in Jasper, GA


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