Wilson, Timothy M.

Wilson, Timothy M. is an individual health care provider with primary practice located at 129 N. Washington St. , Sumter SC 29150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wilson, Timothy M. can be contacted via phone (803) 436-5582.

Contact Information

Primary practice address
129 N. Washington St. Sumter SC 29150
Phone: (803) 436-5582
Fax: (803) 436-0085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 17831 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17831 South Carolina

Profile Details

NPI number 1942269253
LBN Legal business name Wilson, Timothy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 14th, 2022 - about 2 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 1942269253 NPPES
South Carolina MEDICAID 178319

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