Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK DIONNE WILSON
Active Sole ProprietorDERRICK DIONNE WILSON is a Health Maintenance Organization healthcare provider located in WINSTON SALEM, North Carolina. NPI 1144077454 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1144077454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2024 (2.2525894388776 yrs)
- Last Updated
- May 3, 2024
- License
-
302R000X (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 W 5TH ST STE 800WINSTON SALEM, NC, 271013131Browse NC providers · Browse ZIP 27101
- Phone
- 8005718308
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Other Health Maintenance Organization Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| DELTA SHAMEL CAIN | B.S | 1689993941 |
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.