Individual
CAMERON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE STE G03, RALEIGH, NC 27610-1247
(919) 350-7270
Mailing address
3024 NEW BERN AVE STE G03, RALEIGH, NC 27610-1247
(919) 350-7270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10419
NC
363AM0700X
Medical Physician Assistant
Primary
0010-10419
NC
363AM0700X
Medical Physician Assistant
MA059148
PA
Other
Enumeration date
07/26/2017
Last updated
04/28/2021
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