Organization
WILSON RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY E CREECH CCSP (PHYSICIAN BILLING MANAGER)
(252) 977-0125
Entity
Organization
Contact information
Practice address
123 S GRACE ST, ROCKY MOUNT, NC 27804-5602
(252) 977-0125
(252) 977-7779
Mailing address
PO BOX 2385, ROCKY MOUNT, NC 27802-2385
(252) 977-0125
(252) 977-7779
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
200100345
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902947
—
NC
Enumeration date
05/07/2007
Last updated
01/11/2008
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