| NPI | 1902636285 |
|---|---|
| Former Legal Business Name | JAMES S WILSON DDS, PA |
| Doing Business As | FAMILY DENTAL CARE OF SHELBY |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracting 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |