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

DR. EUGENE WILEY WILSON IV, DO

Active

Diagnostic Radiology · COLUMBIA, SC

Registration Details

NPI Number
1922099746
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2005 (20.469145399743 yrs)
Last Updated
Mar 20, 2013
License
02002999A (IN)

Practice Information

Address
84 MALLET HILL CT
COLUMBIA, SC, 292233126
Browse SC providers · Browse ZIP 29223
Phone
8035090456
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in COLUMBIA, SC

Name Credential NPI
JOHN M RAZOOK MD 1669458659
WESLEY S CONWELL MD 1124090774
TIMOTHY P CLOSE MD 1700859485
TOMMY CUPPLES MD 1437122116
JACQUETTE L CALDWELL MD 1164495842
GERALD EDMUND RICHMOND MD 1073586756
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.