Organization
WILSON MEDICAL CENTER, INC.
Active
Parent organization
WILSON MEDICAL CENTER, INC.
Other names
Wilson Medical Center Medical Nutrional Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON MEDICAL CENTER, INC.
Authorized official
MR. RICHARD E. HUDSON (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(252) 399-8139
Entity
Organization
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8778
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
H0210
NC
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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