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Organization
TST MEDICAL, P.A.
Active
Organization
TST MEDICAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L WILSON (PRACTICE MANAGER)
(828) 693-4431
Entity
Organization
Contact information
Practice address
510 BALSAM RD, HENDERSONVILLE, NC 28792-5703
(828) 693-4431
(828) 693-4871
Mailing address
PO BOX 2448, HENDERSONVILLE, NC 28793-2448
(828) 693-4431
(828) 693-4871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013NW
—
NC
Enumeration date
02/10/2006
Last updated
08/30/2012
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