Jason A Wilson M.D.

NPI 1073603486 - Internal Medicine - 207R00000X

NPI Details
NPI 1073603486
Gender Male
Enumeration Date 10/14/2006
Last Updated 04/04/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2015 RANDOLPH RD
SUITE 208
CHARLOTTE NC, 28207-1128, US
Phone (704) 377-4009
Fax
Business Location
PO BOX 497
HUNTERSVILLE NC, 28070-0497, US
Phone (704) 377-4009
Fax
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 2009-0494
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According to our database, Dr. Jason A Wilson M.D. NPI is 1073603486, taxonomy code is 207R00000X and license number is 2009-0494, license state is located at North Carolina. Jason A Wilson M.D. physically located at 2015 Randolph Rd, Charlotte NC, 28207-1128. NPI Number Jason A Wilson M.D. has the Individual type.

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1073603486 NPI number is provided on an as is basis without warranty of any kind. 1073603486 is maintained by the National Plan & Provider Enumeration System. The contents of Jason A Wilson M.D. are for informational purposes only.