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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT WILSON

Active Sole Proprietor

BRENT WILSON is a Physician Assistant healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1114461357 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROCKY MOUNT, NC

Registration Details

NPI Number
1114461357
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2016 (9.6723433101564 yrs)
Last Updated
Feb 13, 2017
License
0010-07077 (NC)
Sole Proprietor
Yes

Practice Information

Address
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC, 278042237
Browse NC providers · Browse ZIP 27804
Phone
2528852463
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in ROCKY MOUNT, NC

Name Credential NPI
SEAN M EPPS PAC 1184625303
MONICA P MILLS PAC 1598767428
CHARLES D HUNTER PA-C 1831191758
AARON GAETANO PICO PA 1134113004
MICHAEL SIERACKI PA-C 1114915790
TOMMY L SIMS PA-C 1487628376
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.