Wilson, Dennis Alonzo

Wilson, Dennis Alonzo is an individual health care provider with primary practice located at 602 Airport Rd Ste C , Greenville SC 29607-2617. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Dennis Alonzo can be contacted via phone (864) 234-7952.

Contact Information

Primary practice address
602 Airport Rd Ste C Greenville SC 29607-2617
Phone: (864) 234-7952
Fax: (864) 234-7985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15193 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15193 South Carolina

Profile Details

NPI number 1346221561
LBN Legal business name Wilson, Dennis Alonzo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 9th, 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 1346221561 NPPES
South Carolina MEDICAID 151925

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