Wilson, Pamela S

Wilson, Pamela S is an individual health care provider with primary practice located at 457-B Hwy 123 Bypass , Seneca SC 29678-0842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Pamela S can be contacted via phone (864) 888-4464.

Contact Information

Primary practice address
457-B Hwy 123 Bypass Seneca SC 29678-0842
Phone: (864) 888-4464
Fax: (864) 888-4462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A632 South Carolina

Profile Details

NPI number 1063491223
LBN Legal business name Wilson, Pamela S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jun 14th, 2012 - about 13 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 1063491223 NPPES
South Carolina MEDICAID RHC195
South Carolina MEDICAID GP1060

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