Individual
CYNTHIA IRBY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 FARMFIELD AVE STE D, CHARLESTON, SC 29407-7779
(843) 469-5641
Mailing address
8 FARMFIELD AVE STE D, CHARLESTON, SC 29407-7779
(843) 469-5641
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MMD.31950
SC
Other
Enumeration date
06/19/2008
Last updated
07/06/2012
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