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WILSON PULMONARY AND INTERNAL MEDICINE PA NPI 1780701508


NPI Information

NPI: 1780701508
Provider Name: WILSON PULMONARY AND INTERNAL MEDICINE, PA

Doing Business As: WILSON PULMONARY AND SLEEP DISORDERS MEDICINE, PA

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1812 GLENDALE DR SW
SUITE A
WILSON, NC
ZIP 27893
Phone: (252) 291-5864
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WILSON PULMONARY AND INTERNAL MEDICINE, PA is an internal medicine in Wilson, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WILSON PULMONARY AND INTERNAL MEDICINE, PA NPI is 1780701508. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wilson Pulmonary And Sleep Disorders Medicine, Pa.

The provider's business location address is:

1812 GLENDALE DR SW
SUITE A
WILSON, NC
ZIP 27893-402
Phone: (252) 291-5864
Fax: (800) 290-5015

The provider's authorized official is Lindsey Elliot Deguehery .
The authorized official title is President and has the following contact phone number (252) 291-5864.

The enumeration date for this NPI number is 3/25/2007 and was last updated on 8/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseNORTH CAROLINANo
2207RS0012XInternal MedicineSleep MedicineNORTH CAROLINANo
3207R00000XInternal MedicineNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1026WROTHERNORTH CAROLINABCBS NC
221824OTHERNORTH CAROLINAMEDCOST
3C87722MEDICARE UPINNORTH CAROLINA
4CL2570OTHERNORTH CAROLINAMEDICARE RR
52331698MEDICARE PINNORTH CAROLINA
65917590MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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