Mark Davis Wilson, M.D.

Pediatrics Physician · Tifton, GA

Individual Active NPI

NPI number 1003132754

Practice location

215 12TH St W
Tifton, GA 31794-3923
Phone
(229) 396-5335
Fax
(229) 396-5330

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NPI record

NPI
1003132754
Entity type
Individual (Type 1)
Enumeration date
April 19, 2010
Last updated
March 7, 2023
Certified
October 19, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 069737 GA

About Dr. Wilson

Mark Davis Wilson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 215 12TH St W, Tifton, GA 31794-3923. The NPI number 1003132754 was assigned on April 19, 2010 and the record was last updated on March 7, 2023.

Dr. Wilson lists a license in the registry: #069737 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Davis Wilson, M.D.?

The NPI number is 1003132754.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (229) 396-5335.

Where is Dr. Wilson located?

215 12TH St W, Tifton, GA 31794-3923.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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