Individual
SAMUEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 423-2175
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 423-2175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44444
AL
207P00000X
Emergency Medicine Physician
63891
TN
Other
Enumeration date
04/03/2018
Last updated
08/29/2025
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