Individual
ANDREA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
852 MCCALLIE AVE, CHATTANOOGA, TN 37403-2600
(920) 460-7067
Mailing address
941 SIGNAL RD, SIGNAL MOUNTAIN, TN 37377-3074
(920) 460-7067
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
111
TN
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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