Organization
WILSON SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM THOMAS BOYD JR. (PRACTICE MANAGER/VICE PRESIDENT)
(252) 399-7557
Entity
Organization
Contact information
Practice address
130 GLENDALE DRIVE WEST, WILSON, NC 27893-2770
(252) 399-7557
(252) 399-1324
Mailing address
130 GLENDALE DRIVE WEST, WILSON, NC 27893-2770
(252) 399-7557
(252) 399-1324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917371
—
NC
Enumeration date
01/23/2007
Last updated
05/29/2013
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