Individual
ANNE TATE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 FITNESS WAY, SUITE 1200, ATHENS, AL 35611-2480
(256) 232-0636
(256) 232-1281
Mailing address
101 FITNESS WAY, SUITE 1200, ATHENS, AL 35611-2480
(256) 232-0636
(256) 232-1281
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-037745
AL
Other
Enumeration date
01/20/2015
Last updated
01/23/2015
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