Individual
SAMUEL MAYHEW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1073 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
(864) 833-3557
(864) 833-7724
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000663301
—
DE
01
—
020042401
RAILROAD MEDICARE
DE
05
—
333777
—
SC
Enumeration date
03/08/2006
Last updated
06/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us