# CLAYTON D WILSON MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427203207
- **Authorized official:** DR. CLAYTON D WILSON MD (MD PRESIDENT)
- **Authorized official phone:** (931) 762-0531

## Contact information

- **Practice address:** 1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2746
- **Practice address phone:** (931) 762-0531
- **Practice address fax:** (931) 762-0998
- **Mailing address:** 1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2746
- **Mailing address phone:** (931) 762-0531
- **Mailing address fax:** (931) 762-0998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD19654 | TN | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 01/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | TN |