Provider Demographics
NPI:1275079352
Name:A WILSON CO INC
Entity Type:Organization
Organization Name:A WILSON CO INC
Other - Org Name:A WILSON TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-514-3189
Mailing Address - Street 1:2741 NC HIGHWAY 58 S
Mailing Address - Street 2:
Mailing Address - City:POLLOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28573-8759
Mailing Address - Country:US
Mailing Address - Phone:252-514-3189
Mailing Address - Fax:252-224-6508
Practice Address - Street 1:2741 NC HIGHWAY 58 S
Practice Address - Street 2:
Practice Address - City:POLLOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28573-8759
Practice Address - Country:US
Practice Address - Phone:252-514-3189
Practice Address - Fax:252-224-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle