Individual
DENNIS NORMAN FARMER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MOCKSVILLE AVE FL 2, SALISBURY, NC 28144-2735
(704) 633-9620
(704) 633-7504
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 633-9620
(704) 633-7504
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911868
—
NC
05
—
N38575
—
SC
Enumeration date
07/29/2005
Last updated
01/15/2024
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