Individual provider · Type 1 NPI

Lisa Marie Wilson, PA

Physician Assistant · Myrtle Beach, SC

NPI number 1023399896 Active

Practice location

809 82nd Pkwy
Myrtle Beach, SC 29572-4607

Fax (843) 497-6601

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1687 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023399896

Lisa Marie Wilson, PA's National Provider Identifier is 1023399896, issued on Sep 7, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 20, 2017.