Individual
DR. TIMOTHY SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD031223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3113404
BCBS OF TN
TN
05
—
3718742
—
TN
Enumeration date
08/02/2006
Last updated
07/08/2007
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