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Individual

WEBB CLANTON WILSON

Active
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Individual

WEBB CLANTON WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20700000X
TN
207P00000X
Emergency Medicine Physician
Primary
DO157451
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012
TENNESSEE MEDICAL LICENSE
TN
01
BP1-0026737
INSTITUTIONAL PERMIT
01
M8432
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/31/2007
Last updated
05/17/2018
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