Wilson, Gary J

Wilson, Gary J is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wilson, Gary J can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 2014-02239 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 2014-02239 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2014-02239 North Carolina

Profile Details

NPI number 1063466746
LBN Legal business name Wilson, Gary J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 15th, 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 1063466746 NPPES
Massachusetts MEDICAID 3122191

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