Randall Ann Wilson, AGACNP - Nurse Practitioner in Columbia, SC

Randall Ann Wilson, AGACNP is a Nurse Practitioner - Acute Care based in Columbia, South Carolina. Randall Ann Wilson is licensed to practice in South Carolina (license number 21430) and her current practice location is 6439 Garners Ferry Rd, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 776-4000.

NPI number for Randall Ann Wilson is 1013420900 and her current mailing address is 6439 Garners Ferry Rd, Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013420900.

Contact Information

Randall Ann Wilson, AGACNP
6439 Garners Ferry Rd,
Columbia, SC 29209-1638
(803) 776-4000
Not Available

Map and Direction




Provider's Profile

Full NameRandall Ann Wilson
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location6439 Garners Ferry Rd, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013420900
  • Provider Enumeration Date: 11/14/2017
  • Last Update Date: 11/14/2017

Medical Identifiers

Medical identifiers for Randall Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013420900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 21430 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Ann Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall Ann Wilson, AGACNP
6439 Garners Ferry Rd,
Columbia, SC 29209-1638

Ph: () -
Randall Ann Wilson, AGACNP
6439 Garners Ferry Rd,
Columbia, SC 29209-1638

Ph: (803) 776-4000

Reviews and Comments


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