Doctor Name: | AYANA MAIA WILSON |
NPI Number: | 1376839316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | LL33723 |
Business Practice Address: | 2 Medical Park Ste. 208 Ob/gyn - Columbia, SC - 29203 |
Business Phone Number: | 8037794928 |
Business Fax Number: | 8034344699 |
Mailing Address: | 2 Medical Park, Ste. 208 Ob/gyn - COLUMBIA |
State: | SC |
Postal Code: | 29203 |
Phone Number: | 8037794928 |
Fax Number: | 8034344699 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | LL33723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |