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Individual

ROBERT J. WILSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6971
Mailing address
503 E PARKER RD, MORGANTON, NC 28655-5104
(828) 437-6500
(828) 330-0930

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9401362
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8988369
NC
Enumeration date
12/15/2005
Last updated
04/25/2019
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