Individual
MRS. ASHLEY SMITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3109 CASEY ST, LORIS, SC 29569-2807
(843) 756-9292
(843) 756-9260
Mailing address
3109 CASEY ST, LORIS, SC 29569-2807
(843) 756-9292
(843) 756-9260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
525
SC
363AM0700X
Medical Physician Assistant
A525
SC
Other
Enumeration date
08/03/2005
Last updated
04/01/2026
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