Organization
WILSON CARDIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PEREZ-NAVARRO MD (MD/PRESIDENT)
(252) 243-7161
Entity
Organization
Contact information
Practice address
2605 FOREST HILLS RD SW, WILSON, NC 27893-4448
(252) 243-7161
(252) 243-7242
Mailing address
PO BOX 3209, WILSON, NC 27895-3209
(252) 243-7161
(252) 243-7242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RC0000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130N
BLUE CROSS BLUE SHIELD
NC
05
—
890130N
—
NC
Enumeration date
04/17/2006
Last updated
01/23/2008
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