Woodie J Wilson Jr., MD
Urology in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1346354081
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1346354081
- Entity type
- Individual (NPI-1)
- Name
- Woodie J Wilson Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 19297 | MS | Yes |
Practice location
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-268-5888 · Fax 601-261-3587
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-268-5888 · Fax 601-579-5240
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