John David Wilson
Pediatric Emergency Physician
701 Grove Rd Er Administration
Greenville
, South Carolina 29605
John David Wilson
Pediatric Emergency Physician
701 Grove Rd Er Administration
Greenville
, South Carolina 29605
(864) 797-6174
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- John David Wilson
- 1 Independence Pt Ste 212
- Greenville, SC
- Zip : 29615-4536
- Phone : (864) 797-6174
Second Address
- John David Wilson
- 701 Grove Rd Er Administration
- Greenville, SC
- Zip : 29605
- Phone : (864) 455-6372
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FAQs
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In what state does John David Wilson practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 14469 | SC |
National Provider Identifier
| NPI | 1679673560 |
|---|---|
| Provider Name | John David Wilson |
| First Address | Greenville, SC 29615-4536 |
| Second Address | Greenville, SC 29605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 26/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 144695 | (05) | SC |
| 20004420 | SELECT HEATLTH (01) | SC |
| 576007863 | AETNA (01) | SC |
| 576007863 | BCBS (01) | SC |
| 576007863 | BLUE CHOICE (01) | SC |
| 576007863 | UHC (01) | SC |
| 930129083 | MEDICARE RAILROAD (01) | SC |
| F65993 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.