Wilsongroup, LLC

NPI #1487800694 in Irmo, South Carolina

Provider Information

NPI Number: 1487800694
Entity Type: Organization
Organization Name: Wilsongroup, LLC
Primary Specialty: Contractor
Enumeration Date: Aug 7, 2008
Last Updated: Sep 18, 2015

Practice Location

Address: 135 GARDEN BROOKE DR
City: Irmo
State: South Carolina
ZIP Code: 29063-7617
Phone: (803) 608-2044

Authorized Official

Name: DR. LESLY WILSON JAMES, PHD, OTR/L
Title: CEO
Phone: (803) 608-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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