Wilson, Amelia Pugh

Wilson, Amelia Pugh is an individual health care provider with primary practice located at 1002 S Eugene St , Greensboro NC 27406-1308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Amelia Pugh can be contacted via phone (336) 271-5999.

Contact Information

Primary practice address
1002 S Eugene St Greensboro NC 27406-1308
Phone: (336) 271-5999
Fax: (336) 271-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301065153 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-01399 North Carolina

Profile Details

NPI number 1306810460
LBN Legal business name Wilson, Amelia Pugh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 21st, 2021 - about 5 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 1306810460 NPPES
North Carolina MEDICAID 5907594
North Carolina MEDICAID 200288250
North Carolina MEDICAID 452801610

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