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Contact Information

LANE A WILNER, MD
2501 S VANCE DR
FLORENCE, SC29505-6163
 Phone: 843-665-1280
 Fax: 843-679-4246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LANE A WILNER · (Male)

NPI Number 1306895354
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2006
Last updated 12/16/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 19078
  • SC Medicaid GP3084
  • SC Other 571108959 FEDERAL TAX ID
Hospital affiliation(s)
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
  • GRAND STRAND REGIONAL MEDICAL CENTER - (Acute Care)
    809 82ND PARKWAY
    MYRTLE BEACH, SC 29572
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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