Wilson, Jessie Ruth

Wilson, Jessie Ruth is an individual health care provider with primary practice located at 100 Healthy Way Ste 1200 , Anderson SC 29621-7916. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Wilson, Jessie Ruth can be contacted via phone (864) 512-6140.

Contact Information

Primary practice address
100 Healthy Way Ste 1200 Anderson SC 29621-7916
Phone: (864) 512-6140
Fax: (864) 512-6149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17060 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17060 South Dakota

Profile Details

NPI number 1740298454
LBN Legal business name Wilson, Jessie Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 23rd, 2022 - about 4 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 1740298454 NPPES
South Carolina MEDICAID T10538

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