Individual
DR. TERENCE BENJAMIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 NORFORK CV, MAUMELLE, AR 72113-6538
(501) 803-0361
Mailing address
7 NORFORK CV, MAUMELLE, AR 72113-6538
(501) 803-0361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C-4907
AR
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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