| Dr Larry T Wilson, MD | |
|
701 S Morgan Ave, Andrews, SC 29510 | |
| (843) 264-5253 | |
| (843) 264-5970 |
| Full Name | Dr Larry T Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 701 S Morgan Ave, Andrews, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134121221 | NPI | - | NPPES |
| 5642205 | Medicaid | VA |
| Entity Name | Doctors Express Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902124647 PECOS PAC ID: 9234263377 Enrollment ID: O20100811000965 |
| Entity Name | Moore Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578724183 PECOS PAC ID: 9638354889 Enrollment ID: O20140714002086 |
| Entity Name | Dlp Frye Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154005965 PECOS PAC ID: 8123397601 Enrollment ID: O20170627003051 |
| Entity Name | Rising Integrative Healthcare Of Wilmington, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033776323 PECOS PAC ID: 7618307596 Enrollment ID: O20200416000693 |
| Entity Name | Rising Integrative Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659836591 PECOS PAC ID: 1951730225 Enrollment ID: O20200504001132 |
| Entity Name | Rising Healthcare Of Greenville Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215629019 PECOS PAC ID: 8325409717 Enrollment ID: O20230801004571 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry T Wilson, MD 1075 N Fraser St, Georgetown, SC 29440 Ph: (843) 527-4442 | Dr Larry T Wilson, MD 701 S Morgan Ave, Andrews, SC 29510 Ph: (843) 264-5253 |
Dr. Bernard Lee Jones Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 S Morgan Ave, Andrews, SC 29510 Phone: 843-264-5253 Fax: 843-264-5970 |