Derrick Dionne Wilson
Derrick Dionne Wilson is a Health Maintenance Organization in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2024
Practice location Address checks out
500 W 5th St Ste 800Winston Salem, NC 27101-3131
Phone: (800) 571-8308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 302R000X (NC) |
|---|
Record details
| NPI number | 1144077454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2024 |
| Last updated in NPPES | May 3, 2024 |
| Certification date | May 3, 2024 |
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