Individual
TRACEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28867
AL
Other
Enumeration date
05/11/2006
Last updated
02/01/2024
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