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Individual

SCOTT DOUGLAS WILSON

Active
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Individual

SCOTT DOUGLAS WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006-00188
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2006-00188
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10299675
VA
01
141XM
BCBS
01
187126
MEDCOST
05
3810007101
WV
01
5426596
AETNA
05
5905701
NC
01
808940
PARTNERS
01
P00315168
RR MEDICARE
Enumeration date
02/17/2006
Last updated
10/19/2023
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