Wilson Baumgartner

NPI #1982454062 in Moultrie, Georgia

Provider Information

NPI Number: 1982454062
Entity Type: Individual
Name: Wilson Baumgartner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 25, 2024
Last Updated: Mar 25, 2024

Practice Location

Address: 1 MAGNOLIA CT
City: Moultrie
State: Georgia
ZIP Code: 31768-6764
Phone: (229) 502-9753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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