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Contact Information

TIMOTHY M WILSON, MD
129 N. WASHINGTON ST.
SUMTER, SC29150
 Phone: 803-436-5582
 Fax: 803-436-0085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TIMOTHY M WILSON · (Male)

NPI # 1942269253
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 17831
  • SC Medicaid 178319
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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