Individual
CAROL C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-7905
Mailing address
7729 SUNVIEW CIR, COLUMBIA, SC 29209-3036
(803) 776-0379
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN2398
SC
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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