Wilson's Professional Care | |
2415 Penny Rd Suite 102 High Point NC 27265-8121 | |
(336) 885-7300 | |
(336) 885-7745 |
Full Name | Wilson's Professional Care |
---|---|
Speciality | Community/behavioral Health |
Location | 2415 Penny Rd, High Point, North Carolina |
Authorized Official Name and Position | Nathaniel Hamilton Wilson (BS, QP, CEO) |
Authorized Official Contact | 3364031414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wilson's Professional Care 2415 Penny Rd Suite 102 High Point NC 27265-8121 Ph: (336) 885-7300 | Wilson's Professional Care 2415 Penny Rd Suite 102 High Point NC 27265-8121 Ph: (336) 885-7300 |
NPI Number | 1649319948 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 10/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649319948 | NPI | - | NPPES |
8301548G | Medicaid | NC | |
3408378 | Medicaid | NC | |
8301548B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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