Individual
DR. PHILIP THOMAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 794-5000
Mailing address
105 S WOODBURN DR STE 2, DOTHAN, AL 36305-1109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1272
AL
207Q00000X
Family Medicine Physician
OS12983
FL
Other
Enumeration date
05/09/2012
Last updated
01/14/2025
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