Wilson Internal Medicine Pa | |
4840 Forest Dr Box 255 Columbia SC 29206-4810 | |
(803) 799-0201 | |
(803) 799-0304 |
Full Name | Wilson Internal Medicine Pa |
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Speciality | Clinic/center - Primary Care |
Location | 4840 Forest Dr, Columbia, South Carolina |
Authorized Official Name and Position | William D. Wilson (PHYSICIAN) |
Authorized Official Contact | 8037990201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilson Internal Medicine Pa 4840 Forest Dr Box 255 Columbia SC 29206-4810 Ph: (803) 799-0201 | Wilson Internal Medicine Pa 4840 Forest Dr Box 255 Columbia SC 29206-4810 Ph: (803) 799-0201 |
NPI Number | 1215996046 |
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Provider Enumeration Date | 03/21/2006 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
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1215996046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 12953 (South Carolina) | Primary |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |