LISA WILSON, PA
Physician Assistant
Active
Individual
NPI: 1023399896
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1687 (SC) |
Frequently Asked Questions
NPI 1023399896 is the National Provider Identifier for LISA WILSON, PA, a Physician Assistant provider located in Myrtle Beach, SC. This NPI was enumerated on September 7, 2011.
LISA WILSON, PA practices at 809 82ND PKWY, Myrtle Beach, SC 29572.
Quick Facts
- NPI
- 1023399896
- Type
- Individual
- Enumerated
- Sep 7, 2011
- Last Updated
- Mar 20, 2017
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