Individual
FELICIA M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 CENTER ST, STE 1S, MOBILE, AL 36604-1512
(251) 410-5437
(251) 434-3852
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-3852
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
16928
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087800
—
AL
05
—
00111185
—
MS
05
—
255633200
—
FL
01
—
36-10164
UNITED HEALTH CARE
AL
01
—
51087800
BLUE CROSS
AL
Enumeration date
06/06/2006
Last updated
02/28/2017
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