NPI 1003132754

Mark Davis Wilson, MD

Practitioner Pediatrics Physician Tifton, GA

Practice location

Address: 215 12th St W, Tifton, GA 31794-3923
Phone: (229) 396-5335
Fax: (229) 396-5330

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 069737 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1003132754
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2010
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.