Individual
THOMAS G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 391-2017
(843) 391-2027
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 391-2017
(843) 391-2027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9273
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092731
—
SC
05
—
5906831
—
NC
Enumeration date
02/08/2006
Last updated
03/25/2009
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