Individual
SYLVIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 ELIZABETH AVE, KINGSTREE, SC 29556-6044
(843) 896-6200
Mailing address
73 ELIZABETH AVE, KINGSTREE, SC 29556-6044
(843) 896-6200
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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