Wilson Internal Medicine Pa

LBN: Wilson Internal Medicine Pa
Wilson Internal Medicine Pa is an health care organization with primary practice located at 2402 Camden St Sw Ste B500 , Wilson NC 27893-8608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wilson Internal Medicine Pa can be contacted via phone (252) 291-8600, or through Sidaros, Medhat F via phone (252) 291-8600.

Contact Information

Primary practice address
2402 Camden St Sw Ste B500 Wilson NC 27893-8608
Phone: (252) 291-8600
Fax: (252) 291-6914
Website:
Map and Directions
Authorized official contact:
Name: Sidaros, Medhat F Doctor of Medicine (MD)
Phone: (252) 291-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9600733 North Carolina

Profile Details

NPI number 1386862688
LBN Legal business name Wilson Internal Medicine Pa
DBA Doing business as
Authorized official Sidaros, Medhat F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 11th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386862688 NPPES
North Carolina MEDICAID 5900812

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