Individual
TINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301
(731) 541-6067
(731) 541-3188
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-8781
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
53942
TN
Other
Enumeration date
06/25/2006
Last updated
10/17/2018
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