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Individual

ROBIN T WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
137 BLOUNT AVE, KNOXVILLE, SD 37871
(865) 632-5992
(865) 632-5316
Mailing address
PO BOX 11784, KNOXVILLE, TN 37939-1784
(865) 588-2928
(865) 450-9374

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15034
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1740454
UHC
TN
05
3041941
TN
01
4011753
BCBS OF TN
TN
05
64913189
KY
Enumeration date
02/27/2006
Last updated
11/08/2007
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