Organization
FREDDIE E. WILSON MD
Active
Other names
southeast regional sleep disorders center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINKA M SCALISE (OFFICE MANAGER)
(864) 627-5337
Entity
Organization
Contact information
Practice address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 627-5337
(864) 627-9301
Mailing address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 627-5337
(864) 627-9301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060409
—
SC
Enumeration date
12/20/2007
Last updated
12/20/2007
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