Nelson Wilson, IV
NPI #1912141516 in Clinton, Mississippi
Provider Information
- NPI Number
- 1912141516
- Entity Type
- Organization
- Organization Name
- Nelson Wilson, IV
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 27, 2009
- Last Updated
- May 19, 2009
Practice Location
- Address
- 801 E NORTHSIDE DR
- Address 2
- SUITE D
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3663
- Phone
- (601) 924-2888
Authorized Official
- Name
- MR. NELSON WILSON IV, C.P.
- Title
- OWNER
- Phone
- (601) 951-7012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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