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Individual

DR. FREDDIE E WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 627-5337
(864) 627-9301
Mailing address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 627-5337
(864) 627-9301

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6040
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060409
SC
Enumeration date
07/01/2005
Last updated
11/19/2007
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