Individual
AUBREY LENORE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 S 10TH ST, LILLINGTON, NC 27546-6690
(910) 893-4111
Mailing address
100 S 10TH ST, LILLINGTON, NC 27546-6690
(910) 893-4111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03317
NC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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