| Wilson And Associates Psychiatry Services | |
|
611 Hospital Rd Commerce GA 30529-1143 | |
| (706) 336-8223 | |
| Not Available |
| Full Name | Wilson And Associates Psychiatry Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 Hospital Rd, Commerce, Georgia |
| Authorized Official Name and Position | Charmaine Wilson (OWNER) |
| Authorized Official Contact | 4049550177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson And Associates Psychiatry Services P.o.box 14166 Savannah GA 31406 Ph: () - | Wilson And Associates Psychiatry Services 611 Hospital Rd Commerce GA 30529-1143 Ph: (706) 336-8223 |
| NPI Number | 1679957039 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Medicare PECOS PAC ID | 3173825148 |
|---|---|
| Medicare Enrollment ID | O20160107001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679957039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 261QM0801X (Georgia) | Primary |
| Provider Name | Charmaine Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083870265 PECOS PAC ID: 1355572611 Enrollment ID: I20140331000075 |
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