Frank a Wilson IV MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024125 Issued in GA

Legal business name

FRANK A WILSON IV MD PC

Practice address

132 N Bailey Ave
Leslie, GA 31764-2600

Phone

(229) 874-9400

Fax

(229) 874-5043

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frank A Wilson IV, MD

Title

President

Phone

(229) 874-9400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1568637478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N BAILEY AVE",
            "city": "LESLIE",
            "state": "GA",
            "postal_code": "317642600",
            "telephone_number": "229-874-9400",
            "fax_number": "229-874-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N BAILEY AVE",
            "city": "LESLIE",
            "state": "GA",
            "postal_code": "317642600",
            "telephone_number": "229-874-9400",
            "fax_number": "229-874-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A WILSON IV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-874-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Mathis Britt, M.ED., CCC/SLP
• Rosemery R Jones
• Barbara Smith, N.P.

• Internal Medicine Physician in Leslie, GA
• Providers in Leslie, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.