Individual
DR. MARION NELSON WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 22ND ST, OLD HICKORY, TN 37138-2502
(615) 847-3088
(615) 847-8479
Mailing address
PO BOX 511, OLD HICKORY, TN 37138-0511
(615) 847-3088
(615) 847-8479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4169
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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