DR. WILLIAM RANDOLPH WILSON M.D. - NPI 1093784860

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Dr. William Randolph Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM RANDOLPH WILSON M.D. (NPI 1093784860) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (11947) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1093784860

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. WILLIAM RANDOLPH WILSONCredential: M.D.

Location Address207 THREE BRIDGES RDGreenville, SC 29611-7549

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8803

Phone(864) 220-1110

Fax(864) 220-1104

Sole ProprietorNo

Enumeration DateMarch 15, 2006

Last NPPES UpdateJune 23, 2021

NPPES CertifiedJune 23, 2021

✔ NPI 1093784860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 11947

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

207 THREE BRIDGES RD, Greenville, SC 29611

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Other Identifiers 2

Medicaid119473SC

Other11947SC · Sc License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY TORRENCE FLESHER M.D.

Pediatrics