| Mr Jerald Edwin Wilson, CRNA | |
|
607 Beaman St, Clinton, NC 28328-2603 | |
| (910) 592-8511 | |
| (910) 590-8761 |
| Full Name | Mr Jerald Edwin Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 607 Beaman St, Clinton, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922146422 | NPI | - | NPPES |
| 8050558 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 029672 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerald Edwin Wilson, CRNA Po Box 1274, 4343 Hwy 701 North, Elizabethtown, NC 28337-1274 Ph: (910) 879-9886 | Mr Jerald Edwin Wilson, CRNA 607 Beaman St, Clinton, NC 28328-2603 Ph: (910) 592-8511 |
Mrs. Anita Vann Royal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 Fax: 910-590-8761 | |
Scot Guilott Aiena, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Anesthesia Department, Clinton, NC 28328 Phone: 910-590-8729 Fax: 910-590-2321 | |
Grigoriy Grigoryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 240-566-1603 Fax: 770-701-6718 | |
Mr. Marshall Johnson Bowen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 | |
Mrs. Michele Therese Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Anesthesia Department, Clinton, NC 28328 Phone: 910-592-8511 Fax: 910-592-8511 | |
Freda Marie Kerr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 |