Mr. Samuel D Wilson III
Mr. Samuel D Wilson III is a Student in an Organized Health Care Education/Training Program in Jefferson, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
86 Eagle View DrJefferson, GA 30549-7023
Phone: (719) 425-1077
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1699692988 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2026 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
Other providers in Jefferson
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Jamie Fitzgerald Dukes Jr., MS, ATC, LAT
538 River Mist Cir, Jefferson, GA 30549-8634 · (770) 900-0269