Wilson, Michelle Margarita

Wilson, Michelle Margarita is an individual health care provider with primary practice located at 200 Patewood Dr Ste C100 , Greenville SC 29615-6322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Wilson, Michelle Margarita can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Ste C100 Greenville SC 29615-6322
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 27103 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27103 South Carolina

Profile Details

NPI number 1235255266
LBN Legal business name Wilson, Michelle Margarita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 23rd, 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 1235255266 NPPES
South Carolina MEDICAID 271039

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