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Search › South Carolina › 103K00000X

Octavia Wilson

NPI 1518606169 · on the registry since 2022

Practice

Address
15 Sandalewood Ct
Columbia, SC 29212
Phone
(035) 094-9388
Organisation at this address
Honey Beehavior Llc
City View Transport Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-15

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 South Carolina