Individual
MARCIA H WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
367 KNOLLWOOD DR, HAMPSTEAD, NC 28443-8440
(910) 270-6163
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-149702-L
PA
Other
Enumeration date
06/24/2005
Last updated
07/08/2007
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