Organization
DLP WILSON PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1700 TARBORO ST W, STE. 100, WILSON, NC 27893-3481
(252) 399-7069
Mailing address
330 SEVEN SPRINGS WAY, ATTEN: PROVIDER ENROLLMENT, BRENTWOOD, TN 37027-3481
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/09/2014
Last updated
09/27/2024
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