Whalio Doctors

NPI 1013079870

Beverley Deloris Wilson, MD

Practitioner Pediatrics Physician Columbia, SC

Practice location

Address
1 Harbison Way STE 221, Columbia, SC 29212-3407
Phone
(803) 724-7560
Fax
(833) 320-1558
Mailing address
PO Box 7756, Columbia, SC 29202-7756

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 16075 (SC)

Registry record

NPI
1013079870
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Dec 2006
Record last updated
27 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.