Individual
WALTER W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 SAINT CLAIR RD, SPRINGVILLE, AL 35146-5582
(205) 467-6111
(205) 467-1760
Mailing address
1000 SAINT CLAIR RD, SPRINGVILLE, AL 35146-5582
(205) 467-6111
(205) 467-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12105
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000097542
—
AL
Enumeration date
10/04/2006
Last updated
03/02/2018
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