Individual
DR. CANDICE LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1521 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5407
(865) 545-4592
(865) 693-8978
Mailing address
JHQMC MOUNTAIN HOME VA; RADIOLOGY DEPARTMENT, PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(429) 979-3470
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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