Individual
MATTHEW WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1803 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-9629
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017-00488
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922446871
—
NC
Enumeration date
06/12/2013
Last updated
07/07/2023
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