Search › South Carolina › 1223G0001X
Mark Wilson
NPI 1629754080 · on the registry since 2023
Practice
- Address
- 1730 South Carolina - 14
Landrum, SC 29356 - Phone
- (864) 457-3425
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-22
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