Wilson, James C
Wilson, James C is an individual health care provider with primary practice located at 3929 S Highway 14 , Greenville SC 29615-6138. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wilson, James C can be contacted via phone (864) 281-9119.Contact Information
Primary practice address
3929 S Highway 14
Greenville SC 29615-6138
Phone: (864) 281-9119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30-03194 | South Carolina |
Profile Details
| NPI number | 1912003468 |
|---|---|
| LBN Legal business name | Wilson, James C |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912003468 | NPPES |
| South Carolina | MEDICAID | Z31948 |
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