Individual
KRISTIN L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 ENON SPRINGS ROAD EAST, SMYRNA, TN 37167
(615) 459-0005
(615) 459-5222
Mailing address
115 ENON SPRINGS ROAD EAST, SMYRNA, TN 37167
(615) 459-0005
(615) 459-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TN1109
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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