IndividualActive
Charles Wilson, M.D.
NPI 1497066518 · Anatomic Pathology & Clinical Pathology Physician · Jasper, GA
Provider details
- NPI number
- 1497066518
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 050283 (GA)
Practice location
175 Samaritan Way
Jasper, GA 30143
Phone: (706) 253-4673
Fax: (706) 253-4675
Mailing address
747 Redfield Way
Jasper, GA 30143
Registry dates
- Enumerated
- 2010-06-23
- Last updated
- 2010-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.