Individual
MEGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 271-6100
Mailing address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q088581
—
TN
Enumeration date
11/27/2023
Last updated
12/14/2023
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