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Individual

DR. CANDICE LYNN WILSON

Active
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Individual

DR. CANDICE LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0000037867
TN
174400000X
Specialist
00027018
AL
174400000X
Specialist
055042
GA
174400000X
Specialist
ME94386
FL
2085R0202X
Diagnostic Radiology Physician
Primary
0000037867
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1882432
FIRST HEALTH
TN
01
4184755
BCBS OF TN
TN
05
7100041970
KY
05
807388100
GA
01
9495633
CIGNA
TN
Enumeration date
03/24/2006
Last updated
12/04/2025
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