Carol Wilson MD
Pediatrics Physician in St Petersburg, FL(View on Map)
Full Name
Carol Wilson MD
NPI Number
1376561415
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/17/2006
Specialties
(Taxonomies)Licenses
State
Florida
North Carolina
License Number
ME79468
200700845
Contact
Information
Purpose
Mailing
Location
Address
601 5TH ST S
601 5TH ST S
City
St Petersburg
St Petersburg
State
FL
FL
Postal Code
33701-4804
33701-4804
Country
US
US
Telephone Number
(727) 767-7739
(727) 767-7739
Identifiers
Identifier
78648
891451E
125195254A
265213700
Identifier State
FL
NC
GA
FL
Identifier Issuer
BCBS
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2013