Individual
DR. ANDREW THOMAS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
190 MUTUAL DR, ANDERSON, SC 29621-1767
(864) 222-9001
Mailing address
726 E CALHOUN ST, ANDERSON, SC 29621-5809
(864) 332-7483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7020
SC
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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