Doctor Name: | GREGORY EDWARD WILSON |
NPI Number: | 1740382027 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT006281 |
Business Practice Address: | 1615 Us Highway 17 Suite 9 Young Harris, GA - 30582 |
Business Phone Number: | 7068962771 |
Business Fax Number: | 7068962772 |
Mailing Address: | 8823 Production Ln, OOLTEWAH |
State: | TN |
Postal Code: | 373636511 |
Phone Number: | 4232387217 |
Fax Number: | 4232383473 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT006281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |