Wilson, Robert A

Wilson, Robert A is an individual health care provider with primary practice located at 4200 E North St Ste 16 , Greenville SC 29615-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Wilson, Robert A can be contacted via phone (864) 292-2800.

Contact Information

Primary practice address
4200 E North St Ste 16 Greenville SC 29615-2437
Phone: (864) 292-2800
Fax: (864) 292-2921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 9726 South Carolina

Profile Details

NPI number 1033185491
LBN Legal business name Wilson, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 22nd, 2014 - about 11 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 1033185491 NPPES
South Carolina MEDICAID 097264

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