Individual
SAMUEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 MANNING DRIVE 1ST FLOOR PHYSICIAN'S OFFICE BLDG, CHAPEL HILL, NC 27599-5368
(984) 974-2695
(984) 974-2654
Mailing address
170 MANNING DRIVE, CB 7035, CHAPEL HILL, NC 27599-7236
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2018-00466
NC
2080P0207X
Pediatric Hematology & Oncology Physician
2018-00466
NC
390200000X
Student in an Organized Health Care Education/Training Program
4301105106
MI
Other
Enumeration date
05/21/2014
Last updated
04/08/2026
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