Organization
MOUNTAIN EMPIRE NEUROLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL KEITH WILSON M.D. (PRESIDENT)
(423) 764-0987
Entity
Organization
Contact information
Practice address
3183 W STATE ST, SUITE 1201, BRISTOL, TN 37620-1712
(423) 761-0987
(423) 652-2512
Mailing address
3183 W STATE ST, SUITE 1201, BRISTOL, TN 37620-1712
(423) 761-0987
(423) 652-2512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
06/11/2008
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