Wilson, Lynn L.

Wilson, Lynn L. is an individual health care provider with primary practice located at 4605 Monticello Rd , Columbia SC 29203-4156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Lynn L. can be contacted via phone (803) 252-7001.

Contact Information

Primary practice address
4605 Monticello Rd Columbia SC 29203-4156
Phone: (803) 252-7001
Fax: (803) 252-5219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14608 South Carolina

Profile Details

NPI number 1740264290
LBN Legal business name Wilson, Lynn L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Apr 12th, 2011 - about 15 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 1740264290 NPPES
South Carolina MEDICAID 146087

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