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Individual

MAXIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674-1417
(256) 381-6963
Mailing address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674-1417
(256) 381-6963
(860) 679-4624

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.3041
AL
208M00000X
Hospitalist Physician
DO.3041
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2019
Last updated
03/01/2023
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