James Oscar Wilde, M.D. Valid NPI

Individual provider · Family Medicine Physician · Charleston, MS

NPI

1003921172

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

22475 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-20

Last updated

2014-05-13