Individual
JONATHAN P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1985 STARTOWN RD., FAIRBROCK MEDICAL CLINIC PA, HICKORY, NC 28602
(828) 327-4745
(828) 327-0841
Mailing address
1985 STARTOWN RD., HICKORY, NC 28602
(828) 327-4745
(828) 327-0841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200500132
NC
Other
Enumeration date
01/11/2006
Last updated
09/08/2008
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