Individual
MR. JOSHUA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1008 SEA BISCUIT DR, INDIAN TRAIL, NC 28079-5703
(704) 221-1536
Mailing address
1008 SEA BISCUIT DR, INDIAN TRAIL, NC 28079-5703
(704) 221-1536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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