Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY T WILSON, MD
ActiveFamily Medicine · ANDREWS, SC
Registration Details
- NPI Number
- 1134121221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2005 (20.91723759804 yrs)
- Last Updated
- Aug 28, 2009
- Licenses
-
MD35689 (TN)0101231693 (VA)TL32077 (SC)
Practice Information
- Address
-
701 S MORGAN AVEANDREWS, SC, 29510Browse SC providers · Browse ZIP 29510
- Phone
- 8432645253
- Fax
- 8432645970
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ANDREWS, SC
| Name | Credential | NPI |
|---|---|---|
| DR. BERNARD LEE JONES JR. | MD | 1730164229 |
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.