Wilson Internal Medicine PA
NPI #1215996046 in Columbia, South Carolina
Provider Information
- NPI Number
- 1215996046
- Entity Type
- Organization
- Organization Name
- Wilson Internal Medicine PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 21, 2006
- Last Updated
- Sep 9, 2008
Practice Location
- Address
- 4840 FOREST DR
- Address 2
- BOX 255
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29206-4810
- Phone
- (803) 799-0201
Authorized Official
- Name
- DR. WILLIAM D. WILSON JR., M. D.
- Title
- PHYSICIAN
- Phone
- (803) 799-0201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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