Individual
ROBERT B WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVS, JACKSONVILLE, FL 32212-0140
(619) 532-5998
Mailing address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401-7354
(843) 822-5470
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
2017-02394
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2011
Last updated
05/20/2021
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