National Provider Identifier Database

JOHN D WILSON, MD – NPI #1679673560
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

JOHN D WILSON, MD
701 GROVE RD
ER ADMINISTRATION
GREENVILLE, SC29605
Phone: 864-455-6372
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X

* Indicates primary specialty

NPI Profile & details for JOHN D WILSON

NPI Number 1679673560
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 07/26/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • SC License #: 14469
  • SC Medicaid: 144695
  • SC Other: 576007863 AETNA
  • SC Other: 576007863 BCBS
  • SC Other: 576007863 BLUE CHOICE
  • SC Other: 930129083 MEDICARE RAILROAD
  • SC Other: 20004420 SELECT HEATLTH
  • SC Other: 576007863 UHC
Hospital affiliation n/a

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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