Dorice R. Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL 1719 Issued in SC

Practice address

302 University Pkwy
Aiken, SC 29801-6302

Phone

(803) 641-5000

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dorice R. Harbeck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1750668877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 HELMSDALE LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090117",
            "telephone_number": "706-664-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "803-641-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DORICE",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL 1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORICE",
            "last_name": "HARBECK",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tomeka Williams
• Tujuana Mikaalia Williams
• Kevin Williamson, RN
• Megan Willing
• Clinton Charles Wilson, C.O.T.A.
• Jessica Wilson, PT
• Talicia Wilson, PHARMD
• Victoria Wilson
• Virginia B Winburn, MD
• Sara E Windham, CH

• Physician Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.