Bruce Wilson

NPI #1093767667 in Whiteville, North Carolina

Provider Information

NPI Number: 1093767667
Entity Type: Individual
Name: Bruce Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 16, 2006
Last Updated: Feb 12, 2019

Practice Location

Address: 320 JEFFERSON ST
City: Whiteville
State: North Carolina
ZIP Code: 28472-3602
Phone: (910) 641-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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