Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1725 N MCKENZIE ST, FOLEY, AL 36535-2249
(251) 943-2141
(251) 943-2846
Mailing address
2546 SW 74TH TER, DAVIE, FL 33317-7028
(954) 475-5758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO.1832
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
OS21802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252633
—
AL
05
—
253585
—
AL
Enumeration date
04/01/2016
Last updated
07/17/2025
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