Individual
SAM WILCOX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
(704) 865-7232
Mailing address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
(704) 865-7232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200500314
NC
Other
Enumeration date
08/12/2005
Last updated
03/16/2009
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