Individual
ARTUR WILKOSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 MAIN ST, CONWAY, SC 29526-3567
(843) 248-6269
(843) 248-0535
Mailing address
4416 FOREST DR, 2ND FLOOR, COLUMBIA, SC 29206-3104
(803) 782-4278
(803) 782-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900536
ECFMG
—
05
—
T46643
—
SC
Enumeration date
08/31/2005
Last updated
07/08/2007
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