Individual
DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
3236 HOLMESTOWN RD, SUITE E-1, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
(843) 663-8158
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8009
(843) 663-8158
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
35476
SC
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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