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

MR. JACK KENNEY WILSON JR., MD

Active

MR. JACK KENNEY WILSON JR., MD is a Internal Medicine healthcare provider located in WILMINGTON, North Carolina. NPI 1356349559 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · WILMINGTON, NC

Registration Details

NPI Number
1356349559
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2005 (21.053221596517 yrs)
Last Updated
Sep 20, 2012
License
16755 (NC)

Practice Information

Address
637 S KERR AVE
WILMINGTON, NC, 284038423
Browse NC providers · Browse ZIP 28403
Phone
9107991810
Fax
9104522571
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in WILMINGTON, NC

Name Credential NPI
ROBIN HERION MD 1841295235
MICHAEL JOHN BARRI MD 1689679409
DR. RUSSELL HAL GERRY MD 1811992340
DR. MARGARET B COLLINS MD 1184621377
DR. ELVIN EUGENE ADAMS MD/MPH 1497752554
DR. JOSEPH ANTHONY PINO MD 1063410264
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.