Search › North Carolina › 207R00000X
Jack Wilson, MD
NPI 1356349559 · on the registry since 2005
Practice
- Address
- 637 S Kerr Ave
Wilmington, NC 28403 - Phone
- (910) 799-1810
- Fax
- (910) 452-2571
- Organisation at this address
- Southeastern Medical Group, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina