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Organization
DARREL L WILSON P.C.
Active
Organization
DARREL L WILSON P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREL LENARD WILSON (PRESIDENT)
(901) 830-6990
Entity
Organization
Contact information
Practice address
135 N PAULINE ST FL 4-5, MEMPHIS, TN 38105-4619
(901) 830-6990
(901) 624-5044
Mailing address
7948 WINCHESTER RD, STE 109 PMB 135, MEMPHIS, TN 38125-2310
(901) 830-6990
(901) 624-5044
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
NULL
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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