| Robert a Wilson MD | |
|
717 N Howe St Southport NC 28461-3459 | |
| (336) 317-4591 | |
| Not Available |
| Full Name | Robert a Wilson MD |
|---|---|
| Speciality | Family Medicine |
| Location | 717 N Howe St, Southport, North Carolina |
| Authorized Official Name and Position | Brett Welch (BUSINESS MANAGER) |
| Authorized Official Contact | 3363174591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert a Wilson MD 717 N Howe St Southport NC 28461-3459 | Robert a Wilson MD 717 N Howe St Southport NC 28461-3459 Ph: (336) 317-4591 |
| NPI Number | 1609489921 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609489921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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