Wilson, Stanley M.

Wilson, Stanley M. is an individual health care provider with primary practice located at 125 Doughty St Suite 660, Charleston SC 29403-5736. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wilson, Stanley M. can be contacted via phone (843) 577-7550.

Contact Information

Primary practice address
125 Doughty St Suite 660 Charleston SC 29403-5736
Phone: (843) 577-7550
Fax: (843) 853-5588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11046 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 11046 South Carolina

Profile Details

NPI number 1558328765
LBN Legal business name Wilson, Stanley M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 28th, 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 1558328765 NPPES
South Carolina MEDICAID 110463
South Carolina Other P00739561
South Carolina Other P00775515

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