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Individual
DR. ROBERT LEWIS WILSON JR.
Active
Individual
DR. ROBERT LEWIS WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
23859
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD42733
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3155481
BLUE CROSS PIN
TN
01
—
3740051
UNITED HEALTHCARE
TN
05
—
3842696
—
TN
01
—
4128772
BCBS
TN
01
—
611133600
FEDERAL BLACK LUNG
TN
Enumeration date
07/10/2006
Last updated
07/16/2021
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