Pamela S Wilson PA

NPI 1063491223 - Physician Assistant - 363A00000X

NPI Details
NPI 1063491223
Gender Female
Enumeration Date 01/16/2006
Last Updated 06/14/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
457-B HWY 123 BYPASS
SENECA SC, 29678-0842, US
Phone (864) 888-4464
Fax (864) 888-4462
Business Location
457-B HWY 123 BYPASS
SENECA SC, 29678-0842, US
Phone (864) 888-4464
Fax (864) 888-4462
Toxanomy
Taxonomy Code 363A00000X
License State South Carolina
License Number A632
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According to our database, Pamela S Wilson PA NPI is 1063491223, taxonomy code is 363A00000X and license number is A632, license state is located at South Carolina. Pamela S Wilson PA physically located at 457-b Hwy 123 Bypass, Seneca SC, 29678-0842. NPI Number Pamela S Wilson PA has the Individual type.

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1063491223 NPI number is provided on an as is basis without warranty of any kind. 1063491223 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela S Wilson PA are for informational purposes only.