Organization
WILSONS AMBULANCE SERVICE AND SUPPORT WASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN KELLY WILSON (CO-OWNER)
(336) 504-7707
Entity
Organization
Contact information
Practice address
471 PARHAM RD, ROXBORO, NC 27574-8276
(336) 599-5303
(336) 599-5303
Mailing address
471 PARHAM RD, ROXBORO, NC 27574-8276
(336) 599-5303
(336) 599-5303
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1048728
NC
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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