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Individual
STANLEY CLAYTON WILSON
Active
Individual
STANLEY CLAYTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100072
UHC
NC
01
—
4141147
AETNA
NC
01
—
88455
BCBS
NC
Enumeration date
11/09/2005
Last updated
07/13/2026
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