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Individual

DR. WILLIAM EARL WILSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BISHOP GADSDEN WAY STE 97, CHARLESTON, SC 29412-3506
(843) 406-2362
(843) 606-8082
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8168
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00754343
RAILROAD MC ID- RSFPN
SC
Enumeration date
09/26/2005
Last updated
07/21/2022
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