Sean Mackey Wilson, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Fayetteville, NC

NPI

1992770572

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

103952 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-17

Last updated

2026-07-13