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FREDDIE E. WILSON MD NPI 1336323815


NPI Information

NPI: 1336323815
Provider Name: FREDDIE E. WILSON MD

Doing Business As: SOUTHEAST REGIONAL SLEEP DISORDERS CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
357 WOODRUFF RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 627-5337
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FREDDIE E. WILSON MD is a specialist in Greenville, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FREDDIE E. WILSON MD NPI is 1336323815. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southeast Regional Sleep Disorders Center.

The provider's business location address is:

357 WOODRUFF RD
GREENVILLE, SC
ZIP 29607-415
Phone: (864) 627-5337
Fax: (864) 627-9301

The provider's authorized official is Katrinka M Scalise .
The authorized official title is Office Manager and has the following contact phone number (864) 627-5337.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist6040SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D17931MEDICARE UPINSOUTH CAROLINA
2060409MEDICAIDSOUTH CAROLINA
3P00014125MEDICARE PINSOUTH CAROLINA
47340MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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