Individual
DR. CAROLINE WEATHERS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-10830
IA
207W00000X
Ophthalmology Physician
Primary
12783
SD
207W00000X
Ophthalmology Physician
70368
MN
207W00000X
Ophthalmology Physician
R-10830
IA
Other
Enumeration date
05/11/2017
Last updated
07/29/2022
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