Plaza Wilson DME Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PLAZA WILSON DME INC

Practice address

204 S Main St
Swainsboro, GA 30401-3648

Phone

(478) 237-2227

Fax

(478) 237-2217

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas L Wilkinson, R.PH.

Title

President

Phone

(478) 237-6621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679511190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304010909",
            "telephone_number": "478-237-2227",
            "fax_number": "478-237-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013648",
            "telephone_number": "478-237-2227",
            "fax_number": "478-237-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA WILSON DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-237-6621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Palmer, CCC-SLP
• Timothy Jake Palmer, D.O.
• Katelyn Patterson, LDO
• Sharon Denise Peebles, FNP
• Glenda V Pettaway, M.D.
• Porter Medical Clinic,P.C.
• Cedric Elmer Porter, M.D.
• Amanda Posey, MT
• Angela R. Powell
• Vijitha Prasad, M.D.

• Durable Medical Equipment & Medical Supplies in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.