Individual
FRANCES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E WATAUGA AVE, JOHNSON CITY, TN 37601-4036
(328) 338-6423
Mailing address
230 STERLING SPRINGS DR, JOHNSON CITY, TN 37604-2289
(423) 612-2385
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3812
TN
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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