Individual
TAMERA BURTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 VILLAGE VISTA DR, FOUNTAIN INN, SC 29644-1347
(336) 213-0975
Mailing address
123 VILLAGE VISTA DR, FOUNTAIN INN, SC 29644-1347
(336) 213-0975
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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