Search › North Carolina › 103K00000X
Shane' Wilson
NPI 1609426543 · on the registry since 2019
Practice
- Address
- 5121 Kingdom Way Ste 100
Raleigh, NC 27607 - Phone
- (919) 743-0204
- Organisation at this address
- Autism Society Of North Carolina, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 207
Additional practice sites
- 300 Market St Ste 200, Chapel Hill, NC
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
106S00000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-04
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