Individual
DR. JAMES PATRICK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
124 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 788-0900
Mailing address
124 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 788-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8804
SC
1223P0300X
Periodontics
Primary
10375
SC
Other
Enumeration date
09/07/2016
Last updated
03/16/2023
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