MR. Charles Omar Wilson JR., M.D.

NPI #1497066518 in Jasper, Georgia

Provider Information

NPI Number
1497066518
Entity Type
Individual
Name
MR. Charles Omar Wilson JR., M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pathology - Anatomic Pathology & Clinical Pathology
Credential
M.D.
Enumeration Date
Jun 23, 2010
Last Updated
Jun 28, 2010

Practice Location

Address
175 SAMARITAN WAY
City
Jasper
State
Georgia
ZIP Code
30143
Phone
(706) 253-4673

Specialties & Taxonomy Codes

Specialty
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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