Individual
ALPHONSO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-1000
Mailing address
608 SEALOFTS DR APT 202, BOYNTON BEACH, FL 33426-3739
(904) 254-0812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
156192
FL
207R00000X
Internal Medicine Physician
E-16711
AR
Other
Enumeration date
03/27/2020
Last updated
06/26/2023
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