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Dr. Eugene Wiley Wilson IV, DO
Diagnostic Radiology Physician in Columbia, South Carolina
NPI 1922099746

Eugene Wiley Wilson IV is a Diagnostic Radiology Physician based in Columbia, SC and is specialized in Diagnostic Radiology. Eugene Wiley Wilson IV practices in Columbia, SC and has the professional credentials of DO. The NPI Number for Eugene Wiley Wilson IV is 1922099746 and holds a License No. 02002999A (South Carolina).

The current practice location address for Eugene Wiley Wilson IV is 84 Mallet Hill Ct, Columbia, SC and can be reached out via phone at 803-509-0456.

Location: 84 Mallet Hill Ct, Columbia, SC, 29223-3126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922099746
Provider Name
Eugene Wiley Wilson IV
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
84 Mallet Hill Ct, Columbia, SC, 29223-3126
Phone Number
803-509-0456
Fax Number
Provider Enumeration Date
11/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
84 Mallet Hill Ct
City
Columbia
State
South Carolina
Zip
29223-3126
Phone Number
803-509-0456
Fax Number
person
Provider Business Mailing Address Details
Address
84 Mallet Hill Ct
City
Columbia
State
South Carolina
Zip
29223-3126
Phone Number
803-509-0456
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
02002999A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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