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Individual

ROBERT A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4200 E NORTH ST STE 16, GREENVILLE, SC 29615-2437
(864) 292-2800
(864) 292-2921
Mailing address
4200 E N STREET, SUITE 16, GREENVILLE, SC 29615
(864) 292-2800
(864) 292-2921

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
9726
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097264
SC
Enumeration date
02/27/2006
Last updated
09/22/2014
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