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Jamie Wilson, MD

Neurological Surgery in Charleston, SC. Individual provider (NPI-1).

NPI number1164057808
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1164057808
Entity type
Individual (NPI-1)
Name
Jamie Wilson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 3, 2020
Certification date
Aug 26, 2024
Last updated
Aug 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery92072SCYes

Practice location

96 Jonathan Lucas St
Charleston, SC 29425-2813

Phone 843-792-7031

Mailing address

Department Of Neurosurgery 96 Jonathan Lucas Street
Charleston, SC 29425-0001

Phone 843-792-7031

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