Organization
WILSON MEDICAL CENTER, INC.
Active
Parent organization
WILSON MEDICAL CENTER, INC.
Other names
Wilson Medical Center, Inc. Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILSON MEDICAL CENTER, INC.
Authorized official
MR. RICHARD E. HUDSON (PRESIDENT AND CEO)
(252) 399-8139
Entity
Organization
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8778
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
(252) 399-8778
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07634
WILSON MED CTR-PHYS SERV
NC
05
—
8907634
—
NC
Enumeration date
12/11/2006
Last updated
09/07/2007
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