Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ENT AND FACE
Active
Organization
ENT AND FACE
Active
Other names
ENT and Face
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLAUD WILSON M.D. (OWNER)
(803) 366-9000
Entity
Organization
Contact information
Practice address
197 S HERLONG AVE, ROCK HILL, SC 29732-3427
(803) 366-9000
(803) 366-9200
Mailing address
197 S HERLONG AVE, ROCK HILL, SC 29732-3427
(803) 366-9000
(803) 366-9200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151016
—
SC
01
—
1669473237
NPI# INDIVIDUAL PROVIDER
—
Enumeration date
12/11/2006
Last updated
02/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers