Individual
LANDON B. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
161 RIVER OAKS DR, CANTON, MS 39046-5375
(601) 951-6530
Mailing address
148 CEDAR SPRING CIR, PEARL, MS 39208-8603
(601) 951-6530
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
884790
MS
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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