Male or Other

Mr. Ralph E. Wilson PA-C

Physician Assistant in Smithfield, NC(View on Map)

Full Name

Mr. Ralph Edwin Wilson PA-C

NPI Number

1639537707

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/04/2016

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

0010-06282

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5105
100 KELLIE DRIVE

City

Belfast
Smithfield

State

ME
NC

Postal Code

04915-5100
27577

Country

US
US

Telephone Number

(919) 220-5255
(919) 934-1094

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/25/2022

Provider Address

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