Smith, Wilson P

Smith, Wilson P is an sole proprietor health care provider with primary practice located at 2030 N Church Place , Spartanburg SC 29303-2796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Smith, Wilson P can be contacted via phone (864) 582-6858.

Contact Information

Primary practice address
2030 N Church Place Spartanburg SC 29303-2796
Fax: (864) 585-0999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 10510 South Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 10510 South Carolina

Profile Details

NPI number 1982675625
LBN Legal business name Smith, Wilson P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Dec 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982675625 NPPES
South Carolina MEDICAID 105102
South Carolina Other 290009757
South Carolina Other 8688

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