Wilson Dermatology Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILSON DERMATOLOGY CLINIC PA

Practice address

2874 Ward Blvd
Wilson, NC 27893-1761

Phone

(252) 291-5600

Fax

(252) 291-6935

NPI assigned

Apr 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David W Corbett, DO

Title

Owner

Phone

(252) 291-5600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174589345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931761",
            "telephone_number": "252-291-5600",
            "fax_number": "252-291-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931761",
            "telephone_number": "252-291-5600",
            "fax_number": "252-291-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DERMATOLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-291-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson County Residential Services, Inc
• Wilson County Residential Services, Inc
• Wilson County Residential Services, Inc
• Wilson County Residential Services,Inc
• Wilson County Schools
• Wilson Digestive Diseases Center PA
• Wilson Digestive Diseases Center PA
• Wilson Emergency Physician Partners PLLC
• Wilson Eye Associates Optometrists, PA
• Wilson Family Medicine, PA

• Clinic/Center in Wilson, NC
• Providers in Wilson, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.