Wilson, John David

Wilson, John David is an individual health care provider with primary practice located at 701 Grove Rd Er Administration, Greenville SC 29605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Wilson, John David can be contacted via phone (864) 455-6372.

Contact Information

Primary practice address
701 Grove Rd Er Administration Greenville SC 29605
Phone: (864) 455-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 14469 South Carolina

Profile Details

NPI number 1679673560
LBN Legal business name Wilson, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 26th, 2018 - about 7 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 1679673560 NPPES
South Carolina Other 576007863 BCBS
South Carolina Other 930129083 BCBS
South Carolina MEDICAID 144695 BCBS
South Carolina Other 576007863 BCBS
South Carolina Other 576007863 BCBS
South Carolina Other 20004420 BCBS
South Carolina Other 576007863 BCBS

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