Individual
ANTHONY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 CHURCH ST, 602, NASHVILLE, TN 37203-2021
(615) 284-4432
Mailing address
PO BOX 2804, BRENTWOOD, TN 37024-2804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002112
TN
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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