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Individual

DR. KATHY TINGLE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3521 GRAYSTONE PL SE, SUITE 202, CONOVER, NC 28613-8268
(828) 326-2660
(828) 326-2671
Mailing address
PO BOX 890273, CHARLOTTE, NC 28289-0273
(828) 326-2600
(828) 326-2671

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01566
NC

Other

Enumeration date
12/01/2006
Last updated
01/04/2017
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