Individual
MS. TYNAKA KWANS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501-4909
(843) 687-9852
(937) 606-3077
Mailing address
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501-4909
(843) 687-6952
(937) 606-3077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22090
SC
Other
Enumeration date
09/04/2018
Last updated
11/04/2024
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