Individual
PETER KEVIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
110 E PHIFER ST, MONROE, NC 28110-3035
(704) 289-4327
(704) 289-4327
Mailing address
110 E PHIFER ST, MONROE, NC 28110-3035
(704) 289-4327
(704) 289-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1485
NC
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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