Individual
KELSEY DERRICK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3B CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 272-3300
(864) 272-3311
Mailing address
213 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 272-3300
(864) 272-3311
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
85751
SC
Other
Enumeration date
03/26/2017
Last updated
07/08/2021
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