Individual
DR. BILL EARL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1911 MORELAND DRIVE, KINGSPORT, TN 37663-3018
(423) 239-0679
(423) 239-0673
Mailing address
168 MERMAN ROAD, KINGSPORT, TN 37663-3446
(423) 239-5306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3591
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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