Individual
DR. WALTER HARRIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
2290 VALLEYDALE RD STE 100, BIRMINGHAM, AL 35244-2113
(205) 682-1099
Mailing address
2290 VALLEYDALE RD STE 100, BIRMINGHAM, AL 35244-2113
(205) 682-1099
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6251
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251493
—
AL
05
—
252782
—
AL
Enumeration date
05/13/2014
Last updated
04/19/2024
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