BARTHOLOMEW THOMAS WILSON

AUGUSTA, GA
NPI1811288970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence:   NA)
Enumeration Date2011-04-25
Last Update Date2011-04-25
Business Address
-- BARTHOLOMEW THOMAS WILSON
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-2371
Mailing Address
-- BARTHOLOMEW THOMAS WILSON
1106 JAMI CT
EVANS, GA 30809-6718
Phone number: