Lisa Wilson, PA-C

NPI 1558363275 · on the registry since 2005

Practice

Address: 1061 Harmon Ave Dept General
Fort Stewart, GA 31314
Phone: (912) 435-5595
Fax: (912) 435-6305
Organisation at this address: U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,116

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia