SALLY WILSON MD PLLC (NPI# 1275702607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275702607 |
| Entity Type | Organization |
| Organization Name | SALLY WILSON MD PLLC |
| Practice Address |
121 S Cochran Ave Suite C Charlotte MI 48813-1568 |
| Practice Telephone | 5175439095 |
| Practice Fax Number | 5175433339 |
| Mailing Telephone | 5175439095 |
| Mailing Fax Number | 5175433339 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | DR. SALLY K WILSON (OWNER) |
| Authorized Official Telephone | 5175435325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301068222 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
121 S COCHRAN AVE SUITE C |
| City | CHARLOTTE |
| State | MI |
| Zip Code | 48813-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285069 | Zoe Ann Davis | Social Worker | 121 S Cochran Ave, Suite B, Charlotte, MI 48813-1568 | 2005-12-12 |
| 1992711964 | Sally King Wilson | Family Medicine | 121 S Cochran Ave, Suite C, Charlotte, MI 48813-1568 | 2006-07-31 |
| 1427019819 | Debra Sue Somervill | Social Worker | 121 S Cochran Ave, Charlotte, MI 48813-1568 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1477052702 | Tayla Palacios | Occupational Therapy Assistant | 202 Warren St, Charlotte, MI 48813 | 2018-02-01 |
| 1043359417 | Frederic Wagner | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| 1154493971 | Debbie Haymowattee Hallak | Internal Medicine | 616 Meijer St, Charlotte, MI 48813 | 2006-11-15 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1689694671 | Anthony E Marl | Internal Medicine | 123 Lansing St., Suite 3a, Charlotte, MI 48813 | 2006-07-20 |
| 1194754879 | Jeannine M Brake-norder | Optometrist | 123 Lansing Street, Charlotte, MI 48813 | 2006-07-03 |
| 1922537356 | Linda Gail Sherrill | Counselor | 114 E Lawrence Ave, Suite 130, Charlotte, MI 48813 | 2017-06-08 |
| 1801936000 | John D Curtis | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-07 |
| 1811036262 | Painless Dentistry LLC | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| Find all providers in zip 48813 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1881223139 | Renew Health and Wellness | Family Medicine | 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 | 2020-04-07 |
| 1164052957 | Partners In Integrated Healthcare & Wellness Pllc | Family Medicine | 9414b Albemarle Rd, Charlotte, NC 28227-3346 | 2020-01-21 |
| 1578103636 | Madelyn Laine Eudy | Family Medicine | 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 | 2020-01-07 |
| 1518514686 | L'renda Arkie Adams | Family Medicine | 8724 Bodkin Ct, Charlotte, NC 28215-7356 | 2019-08-22 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1003460213 | Companion Health, Pllc | Family Medicine | 5029 Lady Fern Cir, Charlotte, NC 28211-4182 | 2019-07-25 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.