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Individual
MR. WILSON O ELKINS
Active
Individual
MR. WILSON O ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618
GROUP MEDICARE #
NC
01
—
8902451
GROUP MEDICAID #
NC
05
—
8930350
—
NC
Enumeration date
10/31/2006
Last updated
08/07/2023
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