Individual
MRS. PAMALA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M
Contact information
Practice address
8180 REGENT PKWY, FORT MILL, SC 29715-8417
(518) 368-3605
Mailing address
12330 TANTALLON CT, PINEVILLE, NC 28134-6410
(518) 368-3605
(704) 731-0867
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0051
SC
Other
Enumeration date
09/22/2011
Last updated
10/28/2025
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