Individual
DR. WILLIAM RANDOLPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 THREE BRIDGES RD, GREENVILLE, SC 29611-7549
(864) 220-1110
(864) 220-1104
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11947
SC LICENSE
SC
05
—
119473
—
SC
Enumeration date
03/15/2006
Last updated
06/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us