Individual
MS. ASHLEY SUZANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 COLTSGATE RD STE 101, CHARLOTTE, NC 28211-3573
(704) 365-3588
Mailing address
2046 SAGE PARK DR, CHARLOTTE, NC 28217-4546
(412) 953-9390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01669
NC
Other
Enumeration date
04/18/2007
Last updated
03/26/2025
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