Individual
JOSHLYN JAMECIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 RUTHERFORD RD, GREENVILLE, SC 29609-3905
(864) 271-9062
Mailing address
1131 RUTHERFORD RD, GREENVILLE, SC 29609-3905
(864) 271-9062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8952
SC
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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