Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TED RICHARD WILSON, M.D.
DeactivatedGeneral Surgery · PANAMA CITY, FL
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1588659262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2005 (0.50684931506849 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 23, 2006
- License
-
ME18674 (FL)
Practice Information
- Address
-
740 HARRISON AVEPANAMA CITY, FL, 324012524Browse FL providers · Browse ZIP 32401
- Phone
- 8507853232
- Fax
- 8507478648
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in PANAMA CITY, FL
| Name | Credential | NPI |
|---|---|---|
| GEORGE T EDWARDS | MD | 1245235027 |
| DR. REBECCA SUZANNE HYSONG | M.D. | 1144219569 |
| GEORGE ERWIN REISS | M.D. | 1013907583 |
| RICHARD BOULWARE WILSON | MD | 1356331821 |
| DR. JOHN J RICHARDS | M.D. | 1164403473 |
| MICHAEL WAYNE TAYLOR | M.D. | 1326023920 |
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.