DR. Larry T Wilson, MD

NPI #1134121221 in Andrews, South Carolina

Provider Information

NPI Number: 1134121221
Entity Type: Individual
Name: DR. Larry T Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 2, 2005
Last Updated: Aug 28, 2009

Practice Location

Address: 701 S MORGAN AVE
City: Andrews
State: South Carolina
ZIP Code: 29510
Phone: (843) 264-5253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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