Organization
WILSON IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE B HOLDER RT (PRESIDENT)
(336) 852-3488
Entity
Organization
Contact information
Practice address
2303 WELLINGTON DR SW, SUITE D, WILSON, NC 27893-8620
(252) 237-2659
(252) 237-2689
Mailing address
PO BOX 16984, CHAPEL HILL, NC 27516-6984
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017WT
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
06/10/2006
Last updated
08/22/2020
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