Wilson, Beverley Deloris

Wilson, Beverley Deloris is an individual health care provider with primary practice located at 1 Harbison Way Ste 221 , Columbia SC 29212-3407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Beverley Deloris can be contacted via phone (803) 724-7560.

Contact Information

Primary practice address
1 Harbison Way Ste 221 Columbia SC 29212-3407
Phone: (803) 724-7560
Fax: (833) 320-1558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16075 South Carolina

Profile Details

NPI number 1013079870
LBN Legal business name Wilson, Beverley Deloris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Dec 27th, 2023 - about 3 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 1013079870 NPPES
South Carolina MEDICAID 160756

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