Individual
BENJAMIN LEWIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-3329
Mailing address
102 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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