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Beverly Cecile Wilson, FNP-BC
Family Nurse Practitioner in Loris, South Carolina
NPI 1467703157

Beverly Cecile Wilson is a Family Nurse Practitioner based in Little River, SC and is specialized in Family. Beverly Cecile Wilson practices in Loris, SC and has the professional credentials of FNP-BC. The NPI Number for Beverly Cecile Wilson is 1467703157 and holds a License No. 17916 (South Carolina).

The current practice location address for Beverly Cecile Wilson is 3817 Main St, Loris, SC and can be reached out via phone at 843-663-8000.

Location: 3817 Main St, Loris, SC, 29566-0547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467703157
Provider Name
Beverly Cecile Wilson
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3817 Main St, Loris, SC, 29566-0547
Phone Number
843-663-8000
Fax Number
Provider Enumeration Date
09/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2188 05 SC
institution
Provider Business Practice Location Address Details
Address
3817 Main St
City
Loris
State
South Carolina
Zip
29569-3017
Phone Number
843-663-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3817 Main St
City
Loris
State
South Carolina
Zip
29569-3017
Phone Number
843-663-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
17916 (South Carolina)
Definition
Definition to come...
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