Individual
DR. FRED CARTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6910 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8704
(904) 805-0099
Mailing address
6910 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8704
(904) 805-0099
(904) 805-0755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7302
FL
Other
Enumeration date
06/12/2006
Last updated
11/07/2017
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