Individual
BEVERLY CECILE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3817 MAIN ST, LORIS, SC 29569-3017
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2188
—
SC
Enumeration date
09/21/2012
Last updated
03/31/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us