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CHARLES E. WILSON MD PC NPI 1174529036


NPI Information

NPI: 1174529036
Provider Name: CHARLES E. WILSON, MD, PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
541 W COLLEGE ST
STE 3500
FLORENCE, AL
ZIP 35630
Phone: (256) 718-2188
Get Directions

CHARLES E. WILSON, MD, PC is an urology in Florence, AL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CHARLES E. WILSON, MD, PC NPI is 1174529036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

541 W COLLEGE ST
STE 3500
FLORENCE, AL
ZIP 35630-326
Phone: (256) 718-2188
Fax: (256) 718-3363

The provider's authorized official is Charles Elmo Wilson .
The authorized official title is President and has the following contact phone number (256) 718-2188.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/16/2011.


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
1208800000XUrology15126MISSISSIPPINo
2208800000XUrology6987ALABAMAYes

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
1DH0160OTHERALABAMARAILROAD MEDICARE
2510G700077MEDICARE PINALABAMA
351509142OTHERALABAMABLUE CROSS BLUE SHIELD
41416173OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
509016248MEDICAIDMISSISSIPPI
6DN0441OTHERMISSISSIPPIRAILROAD MEDICARE
74042085OTHERTENNESSEEBLUE CROSS BLUE SHIELD
809016288MEDICAIDMISSISSIPPI
9512G700076MEDICARE PINMISSISSIPPI
104661630001OTHERPALMETTO DMERC
114046425MEDICAIDTENNESSEE
12C76530MEDICARE UPIN
13529912610MEDICAIDALABAMA

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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