Larry Lee Wilson in Supply - Obstetrics & Gynecology
Larry Lee Wilson - NPI 1356345094
Larry Lee Wilson is a Obstetrics & Gynecology in Supply, North Carolina. Larry Lee Wilson practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Larry Lee Wilson is 1356345094. The last update date is 2010-06-25.
Larry Lee Wilson's current location address is 14 Doctors Cir, Supply, North Carolina. You can contact this provider via phone number 9107549166 and fax number 9107542972. The mailing address for Larry Lee Wilson is 14 Doctors Cir, Supply, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Lee Wilson |
|---|---|
| Address | 14 Doctors Cir, Supply, North Carolina |
| Phone Number | 9107549166 |
| Fax Number | 9107542972 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356345094 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | 14 Doctors Cir |
|---|---|
| City | Supply |
| State | North Carolina (NC) |
| Post Code | 2846240970 |
| Phone Number | 9107549166 |
| Fax Number | 9107542972 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 16506 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| L10281 | SC | -- |
Post Comment/ Review Below
What is the Larry Lee Wilson's unique identification number?
The Larry Lee Wilson has been assigned the NPI (National Provider Identifier) Number 1356345094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Larry Lee Wilson is located?
The Larry Lee Wilson is situated at the following address: 14 Doctors Cir, Supply, NC, 2846240970.
What is the Larry Lee Wilson's area of specialization and corresponding taxonomy classification?
The Larry Lee Wilson's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356345094 to Larry Lee Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1356345094 to Larry Lee Wilson on 2005-06-10.
When was the Larry Lee Wilson's information last updated?
The Larry Lee Wilson's information was last updated on 2010-06-25.