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Organization
WILSON MEDICAL CENTER, INC.
Active
Organization
WILSON MEDICAL CENTER, INC.
Active
Parent organization
WILSON MEDICAL CENTER, INC.
Other names
Powell Memorial Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON MEDICAL CENTER, INC.
Authorized official
RICHARD E. HUDSON (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(252) 399-8139
Entity
Organization
Contact information
Practice address
11180 FINCH AVENUE, MIDDLESEX, NC 27557
(252) 235-2298
(252) 399-8829
Mailing address
11180 FINCH AVENUE, P.O. BOX 879, MIDDLESEX, NC 27557-0879
(252) 235-2298
(252) 399-8829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156L
NC BC PROVIDER NO.
NC
05
—
7901436
—
NC
Enumeration date
02/26/2007
Last updated
09/07/2007
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