Mark Davis Wilson
M.D. | Pediatrics | Male
Mark Davis Wilson, M.D. is a Tifton, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark Davis Wilson is
215 12th St W, Tifton, Georgia - 31794-3923. He can be contacted on phone at
229-396-5335 and fax number 229-396-5330.
Mark Davis Wilson is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Davis Wilson is
1003132754 which was assigned by NPPES on 19 Apr, 2010 and it was last updated on 07 Mar, 2023.
Mark Davis Wilson license number is
069737 for Pediatrics (208000000X) in Georgia.
Mark Davis Wilson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Davis Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark Davis Wilson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mark Davis Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 215 12th St W
Tifton, GA, 31794-3923
United States |
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| Phone Number : | 229-396-5335 |
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| Fax Number : | 229-396-5330 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003132754 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Apr, 2010 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Davis Wilson are as mentioned. Primary taxonomy code for Mark Davis Wilson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 069737 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mark Davis Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 69737 | Other (non-Medicare) | GA | License |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 215 12th St W
Tifton, GA, 31794-3923
United States |
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| Phone Number : | 229-396-5335 |
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| Fax Number : | 229-396-5330 |
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Business Location:
Patients can refer following map for directions to
Mark Davis Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.