Organization
WILNER MEDICAL ASSOICATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE A WILNER MD (PRESIDENT)
(843) 665-1280
Entity
Organization
Contact information
Practice address
251 W PALMETTO ST, FLORENCE, SC 29501-4415
(843) 665-1280
(843) 679-4246
Mailing address
251 W PALMETTO ST, FLORENCE, SC 29501-4415
(843) 665-1280
(843) 679-4246
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
19078
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190787
—
SC
Enumeration date
11/19/2007
Last updated
05/15/2013
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