Search › South Carolina › 111N00000X
Justin Wilson
NPI 1710844246 · on the registry since 2026
Practice
- Address
- 445 N Highway 52 Ste 98
Moncks Corner, SC 29461 - Phone
- (843) 809-5290
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-07
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