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Larry Lee Wilson, MD
Obstetrics & Gynecology Physician in Supply, North Carolina
NPI 1356345094

Larry Lee Wilson is a Obstetrics & Gynecology Physician based in Charlotte, NC. Larry Lee Wilson practices in Supply, NC and has the professional credentials of MD. The NPI Number for Larry Lee Wilson is 1356345094 and holds a License No. 16506 (North Carolina).

The current practice location address for Larry Lee Wilson is 14 Doctors Cir, Supply, NC and can be reached out via phone at 910-754-9166 and via fax at 910-754-2972.

Location: 14 Doctors Cir, Supply, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356345094
Provider Name
Larry Lee Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14 Doctors Cir, Supply, NC, 28260-0447
Phone Number
910-754-9166
Fax Number
910-754-2972
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L10281 05 SC
institution
Provider Business Practice Location Address Details
Address
14 Doctors Cir
City
Supply
State
North Carolina
Zip
28462-4097
Phone Number
910-754-9166
Fax Number
910-754-2972
person
Provider Business Mailing Address Details
Address
14 Doctors Cir
City
Supply
State
North Carolina
Zip
28462-4097
Phone Number
910-754-9166
Fax Number
910-754-2972
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
16506 (South Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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