Individual
CILANTAY R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1053 CENTER STREET, DBA LTC HEALTH SOLUTIONS, WEST COLUMBIA, SC 29169
(800) 491-0909
(843) 353-2581
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE INC DBA LTC HEALTH SOLUTIONS, COLUMBIA, SC 29201-2818
(803) 726-2350
(803) 753-9102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20079
SC
Other
Enumeration date
04/05/2016
Last updated
05/01/2018
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