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General NPI Number Information
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NPI Number | 1861491367
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Entity Type | Individual
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Provider Name | GEORGE B WILSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 2006 FRANKLIN ST SE STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4537
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Country | US
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Telephone | 256-539-0457
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Fax | 256-539-5827
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Provider Business Mailing Address
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Address Line | 2006 FRANKLIN STREET SUITE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4537
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Country | US
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Telephone | 256-539-0457
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Fax | 256-539-5827
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17389
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34700
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME112931
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 67934
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 46028
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.122065
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 8184938-1205
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License Number State | UT
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35929
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License Number State | AL
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