Individual
SARAH ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6870
(803) 434-3950
(803) 434-3496
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25549
SC
363LP0200X
Pediatric Nurse Practitioner
APN.0993640-NP
CO
Other
Enumeration date
01/22/2018
Last updated
03/07/2022
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