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Individual

DR. JAMES C WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3929 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 281-9119
Mailing address
3929 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 281-9119

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-03194
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z31948
SC
Enumeration date
09/15/2006
Last updated
07/09/2007
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