| Lisa A Wilson, PA-C | |
|
1061 Harmon Ave Dept General, Fort Stewart, GA 31314-5641 | |
| (912) 435-5595 | |
| (912) 435-6305 |
| Full Name | Lisa A Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1061 Harmon Ave Dept General, Fort Stewart, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558363275 | NPI | - | NPPES |
| 753648566A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 003755 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Wilson, PA-C 1061 Harmon Ave. Ste 1d03, Ft. Stewart, GA 31314-5674 Ph: (912) 435-5595 | Lisa A Wilson, PA-C 1061 Harmon Ave Dept General, Fort Stewart, GA 31314-5641 Ph: (912) 435-5595 |
Selina Marie Pooser, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5965 | |
Kathy Wynkoop, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1912 Lindquist Road, Building 412, Fort Stewart, GA 31314 Phone: 912-435-5517 | |
Mr. Kenneth Bostic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Winn Army Community Hospital Ste1d03, Fort Stewart, GA 31314 Phone: 912-435-5254 | |
Mariaeugenia Sierra-donovan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 910-818-6396 | |
Mr. Andrew Gerber Mcphie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5965 | |
Kyla Renae Blackshear, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 Harmon Ave., Fort Stewart, GA 31314 Phone: 912-435-5924 | |
Daniel O'connor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6965 |