Individual
NATHAN J WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 N CAMERON AVE, WINSTON SALEM, NC 27101-3304
(336) 624-9033
Mailing address
608 N CAMERON AVE, WINSTON SALEM, NC 27101-3304
(336) 624-9033
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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