Individual
BEN WILLIAM WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 ANDERSON RD, EASLEY, SC 29642-9309
(864) 295-2500
Mailing address
10701 ANDERSON RD, EASLEY, SC 29642-9309
(864) 295-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234936
—
SC
05
—
5901300
—
NC
01
—
593303026005
BCBS
SC
Enumeration date
05/27/2005
Last updated
01/13/2015
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