Wilson, Thomas G

Wilson, Thomas G is an individual health care provider with primary practice located at 701 Cashua Ferry Rd , Darlington SC 29532-8488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Thomas G can be contacted via phone (843) 391-2017.

Contact Information

Primary practice address
701 Cashua Ferry Rd Darlington SC 29532-8488
Phone: (843) 391-2017
Fax: (843) 391-2027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9273 South Carolina

Profile Details

NPI number 1902879349
LBN Legal business name Wilson, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 25th, 2009 - about 17 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 1902879349 NPPES
South Carolina MEDICAID 092731
South Carolina MEDICAID 5906831

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