Individual
DR. ANITA DUNCAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 POWELL PL STE 104, BRENTWOOD, TN 37027-7522
(800) 989-7471
Mailing address
205 POWELL PL STE 104, BRENTWOOD, TN 37027-7522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200700404
NC
207Q00000X
Family Medicine Physician
MD.35384
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC3788A
MEDICARE PTAN
NC
Enumeration date
07/17/2007
Last updated
01/21/2026
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