Individual
DR. LEONARD LEON WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR, GOOSE CREEK, SC 29445
(843) 794-6000
Mailing address
110NAVAL NUCLEAR POWER TRAINING COMMAND CIR, GOOSE CREEK, SC 29445
(843) 794-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177090
VA
Other
Enumeration date
01/08/2019
Last updated
05/23/2024
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