Wilson, Suzanne L

Wilson, Suzanne L is an individual health care provider with primary practice located at 205 Page Road , Pinehurst NC 28374-8798. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Wilson, Suzanne L can be contacted via phone (910) 295-5511.

Contact Information

Primary practice address
205 Page Road Pinehurst NC 28374-8798
Phone: (910) 295-5511
Fax: (910) 295-5481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01975 North Carolina

Profile Details

NPI number 1619996121
LBN Legal business name Wilson, Suzanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 17th, 2008 - about 16 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 1619996121 NPPES
South Carolina Other N01975 SC MEDICAID
South Carolina Other 144NO SC MEDICAID
South Carolina MEDICAID 5905677 SC MEDICAID
South Carolina Other 0407048 SC MEDICAID
South Carolina Other 195533 SC MEDICAID
South Carolina Other FH1100235 SC MEDICAID

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