Individual
DR. PHILLIP RYAN WILSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425
(843) 792-2322
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37030
SC
207L00000X
Anesthesiology Physician
LL37030
SC
Other
Enumeration date
06/14/2014
Last updated
08/07/2018
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