Individual
CALEB PRICE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3023
(366) 716-2011
Mailing address
311 LAWNDALE DR, WINSTON SALEM, NC 27104-4013
(918) 691-7151
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
07/18/2022
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