Individual
ALLIE THOMPSON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WAKE FOREST BAPTIST HEALTH DEPARTMENT OF SURGERY, WINSTON SALEM, NC 27157
(336) 716-3813
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06722
NC
Other
Enumeration date
10/04/2016
Last updated
09/04/2024
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