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Individual

WILLIAM DAVID WILCOX

Active
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Individual

WILLIAM DAVID WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22198
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800645
UNITED HEALTHCARE
NC
01
21139
OPTICARE
NC
01
330361
MAMSI
NC
01
4221646
AETNA
NC
01
87366
BCBS NC
NC
05
8987366
NC
01
D9484
MEDCOST
NC
01
P00165783
RAILROAD MEDICARE
Enumeration date
08/02/2005
Last updated
12/04/2007
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