Healthcare Provider Details

I. General information

NPI: 1861544439
Provider Name (Legal Business Name): WILSON ORTHOPAEDIC SURGERY & NEUROLOGY CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 FOREST HILLS ROAD
WILSON NC
27893
US

IV. Provider business mailing address

PO BOX 3148 1803 FOREST HILLS ROAD
WILSON NC
27895-3148
US

V. Phone/Fax

Practice location:
  • Phone: 252-243-9629
  • Fax: 252-243-0915
Mailing address:
  • Phone: 252-243-9629
  • Fax: 252-243-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT N SATTERFIELD
Title or Position: PRESIDENT
Credential: MD
Phone: 252-243-9629