DR. Timothy M Wilson JR., MD

NPI #1548843873 in Lugoff, South Carolina

Provider Information

NPI Number: 1548843873
Entity Type: Individual
Name: DR. Timothy M Wilson JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 4, 2021
Last Updated: Oct 3, 2024

Practice Location

Address: 710 DEWITT DR
City: Lugoff
State: South Carolina
ZIP Code: 29078-9069
Phone: (803) 438-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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