Organization
CLINIC W LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S. WILSON MD (SOLE MEMBER)
(205) 383-5336
Entity
Organization
Contact information
Practice address
102 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 383-5336
Mailing address
102 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 287-3900
(888) 300-4079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26067
AL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/31/2017
Last updated
01/10/2022
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