KIMBERLY SUSANN WILSON

SPARTANBURG, SC
NPI1689812802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: SC  3974)
Enumeration Date2009-01-26
Last Update Date2021-01-18
Business Address
KIMBERLY SUSANN WILSON APRN
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6000
Mailing Address
KIMBERLY SUSANN WILSON APRN
PO BOX 2168
SPARTANBURG, SC 29304-2168
Phone number: 864-560-4123
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