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Individual

CORA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1120 SAMS ST, COOKEVILLE, TN 38506-4006
(931) 528-7312
(931) 528-7377
Mailing address
1120 SAMS ST, COOKEVILLE, TN 38506-4006
(931) 528-7312
(931) 528-7377

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4795
TN

Other

Enumeration date
11/22/2021
Last updated
12/31/2025
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