Individual
VICTORIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 WINECOFF AVE NW STE 1, CONCORD, NC 28025-4427
(216) 240-2637
Mailing address
39 WINECOFF AVE NW STE 1, CONCORD, NC 28025-4427
(216) 240-2637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C115849
NC
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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