Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY LEE WILSON, MD
ActiveLARRY LEE WILSON, MD is a Obstetrics & Gynecology healthcare provider located in SUPPLY, North Carolina. NPI 1356345094 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · SUPPLY, NC
Registration Details
- NPI Number
- 1356345094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.184532547182 yrs)
- Last Updated
- Jun 25, 2010
- Licenses
-
16506 (SC)200601686 (NC)
Practice Information
- Address
-
14 DOCTORS CIRSUITE 5SUPPLY, NC, 284624097Browse NC providers · Browse ZIP 28462
- Phone
- 9107549166
- Fax
- 9107542972
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in SUPPLY, NC
| Name | Credential | NPI |
|---|---|---|
| SUSAN KADY WILSON | M.D. | 1093719726 |
| MR. LINDIAN J SWAIM JR. | MD | 1902890874 |
| MR. ROBERT E HASSLER | MD | 1861487332 |
| DR. DIANE NICOLE BALLERINO-REGAN | M.D. | 1790892081 |
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.