Individual
DR. TYLER KEITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604-2371
(423) 302-3480
(423) 833-0639
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5746
TN
2084P0800X
Psychiatry Physician
LL82221
SC
Other
Enumeration date
06/14/2019
Last updated
09/08/2025
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