Individual
DR. AMELIA PUGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 271-5999
(336) 271-5990
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-01399
NC
207Q00000X
Family Medicine Physician
4301065153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200288250
—
IN
05
—
452801610
—
MI
05
—
5907594
—
NC
Enumeration date
02/15/2006
Last updated
08/21/2021
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