Individual
WILLIAM DAVID WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Mailing address
4102 N ROXBORO RD, DURHAM, NC 27704
(919) 595-2000
(919) 595-2190
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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