Individual
DOUGLAS VAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
47344 US HIGHWAY 78, LINCOLN, AL 35096-6748
(205) 763-7848
Mailing address
1130 22ND ST S STE 1000, BIRMINGHAM, AL 35205-2881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-107799
AL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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