Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Lee Wilson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1356345094

Larry Lee Wilson, MD is an Obstetrics & Gynecology Physician in Supply, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2005.

Licensed in
NC, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

14 Doctors Cir Ste 5
Supply, NC 28462-4097
Phone: (910) 754-9166
Fax: (910) 754-2972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 200601686 (NC)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 16506 (SC)

Record details

NPI number1356345094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESJune 25, 2010
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Other providers in Supply