| Dr David Mark Wilson, MD | |
|
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
| (843) 347-7144 | |
| (843) 347-7331 |
| Full Name | Dr David Mark Wilson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 38 Years |
| Location | 300 Singleton Ridge Rd, Conway, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427041284 | NPI | - | NPPES |
| 153238 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 15323 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Medical Center | Conway, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Pathology Consultants Pa | 5395704266 | 2 |
| Entity Name | Clinical Pathology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265483903 PECOS PAC ID: 5395704266 Enrollment ID: O20041006000908 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Mark Wilson, MD Po Box 1599, Conway, SC 29528-1599 Ph: (843) 347-7144 | Dr David Mark Wilson, MD 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-7144 |
Dr. Raymond Leonard Krzyzaniak, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 402-b Singleton Ridge Road, Conway, SC 29526 Phone: 843-347-8600 Fax: 843-347-8702 | |
Dr. Robert J Gay, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7144 Fax: 843-347-7331 | |
Dr. Raymond Keels Allen Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7144 Fax: 843-347-7331 |