Individual
RANDALL J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1300 S MONTGOMERY AVE, SHEFFIELD, AL 35660-6334
(256) 386-4005
(256) 386-4685
Mailing address
6 HARBORVIEW CT NE, DECATUR, AL 35601-1630
(256) 642-1344
(256) 353-8477
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1083888
AL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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