Wilson, Samuel Mayhew

Wilson, Samuel Mayhew is an individual health care provider with primary practice located at 1073 Medical Ridge Rd , Clinton SC 29325-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Samuel Mayhew can be contacted via phone (864) 833-3557.

Contact Information

Primary practice address
1073 Medical Ridge Rd Clinton SC 29325-4542
Phone: (864) 833-3557
Fax: (864) 833-7724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33377 South Carolina

Profile Details

NPI number 1609844653
LBN Legal business name Wilson, Samuel Mayhew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 21st, 2023 - about last year

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 1609844653 NPPES
Delaware MEDICAID 0000663301
Delaware Other 020042401
Delaware MEDICAID 333777

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