Individual
RONALD LEE WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SW MARKET ST STE D, REIDSVILLE, NC 27320-3823
(336) 901-1284
Mailing address
301 SW MARKET ST STE D, REIDSVILLE, NC 27320-3823
(336) 901-1284
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8629731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
NC
Enumeration date
04/11/2023
Last updated
04/11/2023
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