Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE EDITH WILSON, D.P.M.
Active Sole ProprietorDR. NICOLE EDITH WILSON, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in DOUGLAS, Georgia. NPI 1073806956 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · DOUGLAS, GA
Registration Details
- NPI Number
- 1073806956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2011 (15.268751187212 yrs)
- Last Updated
- Feb 25, 2016
- License
-
POD001284 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 WESTSIDE DRDOUGLAS, GA, 315333528Browse GA providers · Browse ZIP 31533
- Phone
- 9123844121
- Fax
- 9123891817
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.