Individual
KANDIS G WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3231
(843) 881-4323
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23640
SC
Other
Enumeration date
06/21/2006
Last updated
12/25/2009
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