Lisa A Wilson, PA-C

NPI #1558363275 in Fort Stewart, Georgia

Provider Information

NPI Number
1558363275
Entity Type
Individual
Name
Lisa A Wilson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Aug 12, 2005
Last Updated
Aug 22, 2023

Practice Location

Address
1061 HARMON AVE DEPT GENERAL
State
Georgia
ZIP Code
31314-5641
Phone
(912) 435-5595

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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