| Haley Wilson, | |
|
4700 Waters Ave, Savannah, GA 31404-6220 | |
| (912) 350-8449 | |
| Not Available |
| Full Name | Haley Wilson |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 4700 Waters Ave, Savannah, Georgia |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679446322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13169 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Health University Medical Center | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 252 |
| Hospital Medicine Services Of Ga Llc | 2062997505 | 90 |
| Entity Name | Cogent Healthcare of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Hospital Medicine Services of Ga LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891653655 PECOS PAC ID: 2062997505 Enrollment ID: O20260401002878 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Wilson, 4700 Waters Ave, Savannah, GA 31404-6220 Ph: Not Available | Haley Wilson, 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-8449 |
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