William Randolph Wilson M.D.

NPI 1093784860 - Pediatrics - 208000000X

NPI Details
NPI 1093784860
Gender Male
Enumeration Date 03/15/2006
Last Updated 09/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
207 THREE BRIDGES RD
GREENVILLE SC, 29611-7549, US
Phone (864) 269-5567
Fax (864) 241-9221
Business Location
1 INDEPENDENCE PT
SUITE 212
GREENVILLE SC, 29615-4545, US
Phone (864) 797-6044
Fax
Toxanomy
Taxonomy Code 208000000X
License State South Carolina
License Number 11947
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According to our database, Dr. William Randolph Wilson M.D. NPI is 1093784860, taxonomy code is 208000000X and license number is 11947, license state is located at South Carolina. William Randolph Wilson M.D. physically located at 207 Three Bridges Rd, Greenville SC, 29611-7549. NPI Number William Randolph Wilson M.D. has the Individual type.

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1093784860 NPI number is provided on an as is basis without warranty of any kind. 1093784860 is maintained by the National Plan & Provider Enumeration System. The contents of William Randolph Wilson M.D. are for informational purposes only.