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Individual

DR. GUY B WILSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.PH

Contact information

Practice address
525 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8213
(423) 926-6154
(423) 926-5571
Mailing address
PO BOX 3582, JOHNSON CITY, TN 37602-3582
(423) 926-6154
(423) 926-5571

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3189
TN

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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