Individual
AYANA MAIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MEDICAL PARK, STE. 208 OB/GYN -, COLUMBIA, SC 29203
(803) 779-4928
(803) 434-4699
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718
(757) 513-8844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-00631
NC
Other
Enumeration date
06/28/2011
Last updated
06/19/2017
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