LISA MARIE WILSON

MYRTLE BEACH, SC
NPI1023399896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  1687)
Enumeration Date2011-09-07
Last Update Date2017-03-20
Business Address
-- LISA MARIE WILSON PA
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-497-5929
Mailing Address
-- LISA MARIE WILSON PA
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1752
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