Sean Mackey Wilson in Fayetteville - Surgical

Sean Mackey Wilson - NPI 1992770572

Sean Mackey Wilson is a Surgical in Fayetteville, North Carolina. Sean Mackey Wilson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Sean Mackey Wilson is 1992770572. The last update date is 2007-07-08.

Sean Mackey Wilson's current location address is 4140 Ferncreek Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9104842171 and fax number 9104844568. The mailing address for Sean Mackey Wilson is 4140 Ferncreek Dr, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean Mackey Wilson
Address 4140 Ferncreek Dr, Fayetteville, North Carolina
Phone Number 9104842171
Fax Number 9104844568
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1992770572
Provider Enumeration Date 2006-02-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4140 Ferncreek Dr
City Fayetteville
State North Carolina (NC)
Post Code 283142563
Phone Number 9104842171
Fax Number 9104844568

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 103952
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Sean Mackey Wilson

What is the unique 10-digit identifier code assigned to Sean Mackey Wilson by the Centers for Medicare & Medicaid Services?

The Sean Mackey Wilson has been issued the NPI (National Provider Identifier) 1992770572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Sean Mackey Wilson is geographically located?

The Sean Mackey Wilson is physically situated at the following location: 4140 Ferncreek Dr, Fayetteville, NC, 283142563.

What is Sean Mackey Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sean Mackey Wilson is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1992770572 to Sean Mackey Wilson?

The Centers for Medicare & Medicaid Services assigned the 1992770572 to Sean Mackey Wilson on 2006-02-17.

When was the information pertaining to Sean Mackey Wilson most recently updated or revised?

The details related to Sean Mackey Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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