Individual
DR. MATTHEW ALAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(888) 975-6390
Mailing address
530 S JACKSON ST RM C2A03, LOUISVILLE, KY 40202-1675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01096323A
IN
207L00000X
Anesthesiology Physician
Primary
85658
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
07/11/2025
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