Individual
TENISHA DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 215-6533
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2022-02337
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
09/30/2022
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