Individual
DR. JAMES KIRK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 683-5284
(336) 683-5279
Mailing address
PO BOX 4174, ASHEBORO, NC 27204-4174
(336) 683-5284
(336) 683-5279
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
032679
GA
207L00000X
Anesthesiology Physician
Primary
90171
NC
207L00000X
Anesthesiology Physician
G8513
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
200001633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12719
BCBS
NC
05
—
8912719
—
NC
Enumeration date
09/27/2005
Last updated
05/06/2008
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