Individual
MARIA CARMEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2828
(985) 875-2732
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
300618
LA
2084N0400X
Neurology Physician
ME55889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01300228
—
MS
05
—
2407848
—
LA
Enumeration date
07/26/2006
Last updated
03/30/2016
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