Individual
JAMIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-2813
(843) 792-7031
Mailing address
DEPARTMENT OF NEUROSURGERY 96 JONATHAN LUCAS STREET, CHARLESTON, SC 29425-0001
(843) 792-7031
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
92072
SC
Other
Enumeration date
03/03/2020
Last updated
08/26/2024
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