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Individual

THOMAS A. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
778 HOFFMAN RD, WEST END, NC 27376-9029
(877) 472-2302
(877) 472-2302
Mailing address
339 WILDLIFE RD, SANFORD, NC 27332-0846
(336) 267-1186
(877) 472-2302

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19427
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8988468
NC
Enumeration date
06/14/2006
Last updated
11/13/2020
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