JAMES WILSON JR.


Address: 1679 Highway 243 South, Marianna, AR 72360
Phone: 8702953557

JAMES WILSON JR. (NPI# 1063577682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063577682
Entity Type Individual
Full Name JAMES WILSON JR.
Practice Address 1679 Highway 243 South
Marianna
AR 72360
Practice Telephone 8702953557
Practice Fax Number 8702953686
Mailing Telephone 8702953557
Mailing Fax Number 8702953686
Enumeration Date 2006-12-26
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 177F00000X Lodging 101 AR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 121812732 05

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Office Location

Street Address 1679 HIGHWAY 243 SOUTH
City MARIANNA
State AR
Zip Code 72360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255843306 Hannah Michelle Byrd Occupational Therapy Assistant 3326 Hwy 1 South, Forrest City, AR 72360 2017-10-30
1114237369 Don W. Ball, M.d. P,a. General Practice 154 Mulberry Street, Marianna, AR 72360 2010-10-20
1528234101 Counseling Consultants Clinic/Center 199 Hwy 243, Marianna, AR 72360 2008-05-05
1467658435 Requisha Denee Brooks Home Health Aide 218 E. Mlk Apt 1, Marianna, AR 72360 2007-06-26
1740310481 Abe Lovelace Social Worker 63 N Carolina St, Marianna, AR 72360 2007-03-06
1932254653 Alisia Skinner Physical Therapy Assistant 700 West Chestnut, Marianna, AR 72360 2007-01-24
1073693701 Marianna Family Medicine Clinic Pllc Family Medicine 29 West Tennessee Street, Marianna, AR 72360 2006-10-17
1467469718 Jonathan Simmons Optometrist 219 W. Chestnut, Marianna, AR 72360 2006-08-01
1093093247 Valentine C Emechete Dentist 530 West Atkins Blvd, Mrianna, AR 72360 2011-07-21
1487663449 Evergreene Pproperties of North Carolina,llc Skilled Nursing Facility 700 West Chestnut Hwy 79 West, Marianna, AR 72360-0386 2006-08-07
Find all providers in zip 72360

Taxonomy Information

Taxonomy Code 177F00000X
Grouping Other Service Providers
Classification Lodging

Taxonomy Definition

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841485893 Mahala Katherine Hayes Lodging 4400 Shuffield Dr, Little Rock, AR 72205-7100 2007-09-12

Competitor

Search similar providers

City MARIANNA
Zip Code 72360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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