Individual
MRS. SUMMER ANGEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
226 ROPER RD, PIEDMONT, SC 29673-8431
(864) 850-5950
Mailing address
226 ROPER RD, PIEDMONT, SC 29673-8431
(864) 850-5950
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
86048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104973577
—
SC
Enumeration date
05/21/2014
Last updated
05/21/2014
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