Organization
WILSON UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B ROUNDER JR. MD (VICE PRESIDENT)
(252) 243-5511
Entity
Organization
Contact information
Practice address
2509 WOOTEN BLVD SW, WILSON, NC 27895
(252) 243-5511
(252) 399-7575
Mailing address
PO BOX 3329, WILSON, NC 27895
(252) 243-5511
(252) 399-7575
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890213F
—
NC
Enumeration date
04/26/2006
Last updated
08/22/2020
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