NPI 1710403720
Twila Wilson
Practice location
- Address
- 5741 D Imboden Street, Columbia, SC 29206
- Phone
- (734) 288-6644
- Fax
- (803) 708-0112
- Mailing address
- 5741 Imboden St APT D, Columbia, SC 29206-5717
Registered specialties (2)
Homemaker
Primary
Adult Companion
Registry record
- NPI
- 1710403720
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2017
- Record last updated
- 21 Aug 2017
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.