# DARREL L WILSON P.C.

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

## Provider details

- **NPI number:** 1942507140
- **Authorized official:** DR. DARREL LENARD WILSON (PRESIDENT)
- **Authorized official phone:** (901) 830-6990

## Contact information

- **Practice address:** 135 N PAULINE ST FL 4-5, MEMPHIS, TN 38105-4619
- **Practice address phone:** (901) 830-6990
- **Practice address fax:** (901) 624-5044
- **Mailing address:** 7948 WINCHESTER RD, STE 109 PMB 135, MEMPHIS, TN 38125-2310
- **Mailing address phone:** (901) 830-6990
- **Mailing address fax:** (901) 624-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 02/24/2011