Individual
DR. CHLOE JENKINS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-3627
Mailing address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME136323
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025170200
—
FL
Enumeration date
04/15/2014
Last updated
11/06/2020
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