DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PETER DAVID WILSON

MEDICARE: PETER DAVID WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMPA.3364SC

General Provider Information

NPI Number : 1801447412
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER DAVID WILSON
Provider Business Mailing Address
First Line : PO BOX 751461
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1461
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8908
Country : US
Telephone Number : 843-792-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 12/02/2019

Similar Medicare Providers

1144896317 — MICHAEL ANTHONY REYNOLDS JR. MD
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-792-1414
Practice Fax:
1780424440 — MRS. CHIAMAKA JANE-PAMELA OKEKE M.D.
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-876-1344
Practice Fax:
1730014754 — MATTIE THOMAS
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-792-2300
Practice Fax:
1164127916 — SAI PATEL
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-792-2300
Practice Fax:
1891627287 — TOSHYANNA LASTAR ROBERTS- AIKEN
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-985-3839
Practice Fax:
1063090033 — ROBERT TRAMEL
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-792-1414
Practice Fax:
1053518621 — DR. PHILIP SINATO JR.
Practice Location Address:
171 ASHLEY AVE
CHARLESTON, SC
29425-8908
Practice Phone: 843-792-1414
Practice Fax:

Directions to “ PETER DAVID WILSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.