Provider Demographics
NPI:1013913128
Name:WILSON, PATRICK ALOYSIUS (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALOYSIUS
Last Name:WILSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HAWTHORNE LN
Mailing Address - Street 2:PRESBYTERIAN HOSPITAL DEPARTMENT OF PATHOLOGY
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2515
Mailing Address - Country:US
Mailing Address - Phone:704-384-4814
Mailing Address - Fax:704-384-5770
Practice Address - Street 1:200 HAWTHORNE LN
Practice Address - Street 2:PRESBYTERIAN HOSPITAL DEPARTMENT OF PATHOLOGY
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2515
Practice Address - Country:US
Practice Address - Phone:704-384-4814
Practice Address - Fax:704-384-5770
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9500774207ZP0102X
DEC10004857207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG06041Medicare UPIN
NC2064628Medicare PIN