Most Relevant Information
Provider Data
| NPI Number: | 1003077363 |
| Provider Name: | CYNTHIA IRBY WILSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | MMD.31950 |
Most Important Dates
| Enumeration Date: | 06/19/2008 |
| Last Updated: | 07/06/2012 |
Provider Practice Location
8 FARMFIELD AVE STE D
CHARLESTON
SC
294077779
Practice Location Phone/Fax
| Phone: | 8434695641 |
| Fax: |
Provider Mailing Location
8 FARMFIELD AVE STE D
CHARLESTON
SC
294077779
Provider Mailing Phone/Fax
| Phone: | 8434695641 |
| Fax: |