Individual
BETHANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-2455
(864) 455-2450
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11006329
FL
363LF0000X
Family Nurse Practitioner
Primary
27983
SC
Other
Enumeration date
02/25/2020
Last updated
07/29/2026
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