Individual
TONYA M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
503 WHITNEY ST, ROCKHILL, SC 29730
(980) 221-9038
Mailing address
508 PUTTER LN, CHESTER, SC 29706-5701
(980) 221-9038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54354
SC
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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