JOHN ROGER WILSON

SPARTANBURG, SC
NPI1164507992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  3102)
Enumeration Date2006-10-27
Last Update Date2009-07-02
Business Address
Mr. JOHN ROGER WILSON CRNA
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6122
Mailing Address
Mr. JOHN ROGER WILSON CRNA
PO BOX 651602
CHARLOTTE, NC 28265-1602
Phone number: 864-560-4123