DERRICK WILSON
Health Maintenance Organization
Active
Individual
NPI: 1144077454
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes | 302R000X (NC) |
Frequently Asked Questions
NPI 1144077454 is the National Provider Identifier for DERRICK WILSON, a Health Maintenance Organization provider located in Winston Salem, NC. This NPI was enumerated on May 3, 2024.
DERRICK WILSON practices at 500 W 5TH ST STE 800, Winston Salem, NC 27101.
Quick Facts
- NPI
- 1144077454
- Type
- Individual
- Enumerated
- May 3, 2024
- Last Updated
- May 3, 2024
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