Charles A Wilson, PT | |
90 E Main St Ste A, Sylva, NC 28779-3030 | |
(828) 550-3923 | |
(828) 354-0209 |
Full Name | Charles A Wilson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 90 E Main St Ste A, Sylva, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598953184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P11345 (North Carolina) | Primary |
Provider Name | Smoky Mountain Sports Medicine & Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710419619 PECOS PAC ID: 6002180387 Enrollment ID: O20170926000891 |
Mailing Address | Practice Location Address |
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Charles A Wilson, PT 90 E Main St Ste A, Sylva, NC 28779-3030 Ph: (828) 550-3923 | Charles A Wilson, PT 90 E Main St Ste A, Sylva, NC 28779-3030 Ph: (828) 550-3923 |
Zachary Demeester, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1674 E Main St, Sylva, NC 28779 Phone: 214-901-3700 | |
Emily Laine Farris, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 90 E Main St # A, Sylva, NC 28779 Phone: 828-550-3923 Fax: 828-354-0209 | |
Judith W Hammond, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Hospital Rd, Sylva, NC 28779 Phone: 828-586-7235 Fax: 828-586-7227 | |
Virginia Wilson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Asheville Hwy, Sylva, NC 28779 Phone: 828-586-8935 | |
Samantha Kennedy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Hospital Rd, Sylva, NC 28779 Phone: 828-586-7235 | |
Ryan Michael Marquart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 E Main St, Sylva, NC 28779 Phone: 828-550-3923 Fax: 828-354-0209 | |
Ms. Leizl Mortel Sharpe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Dillsboro Rd, Apt 2, Sylva, NC 28779 Phone: 732-841-6798 |