Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA A WILSON, PA-C
ActiveLISA A WILSON, PA-C is a Surgical Physician Assistant healthcare provider located in FORT STEWART, Georgia. NPI 1558363275 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FORT STEWART, GA
Registration Details
- NPI Number
- 1558363275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2005 (21.047749157478 yrs)
- Last Updated
- Aug 22, 2023
- License
-
003755 (GA)
Practice Information
- Address
-
1061 HARMON AVE DEPT GENERALFORT STEWART, GA, 313145641Browse GA providers · Browse ZIP 31314
- Phone
- 9124355595
- Fax
- 9124356305
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FORT STEWART, GA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS BENTON EPPLEY III | PA-C | 1588925762 |
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.