Individual
DR. GERALD A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 SAINT JULIAN PL, SUITE 100, COLUMBIA, SC 29204-2418
(803) 254-0814
(803) 256-1191
Mailing address
1701 SAINT JULIAN PL, SUITE 100, COLUMBIA, SC 29204-2418
(803) 254-0814
(803) 256-1191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7887
SC
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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