Wilson, Clayton D

Wilson, Clayton D is an sole proprietor health care provider with primary practice located at 1009 N Locust Ave Suite 1, Lawrenceburg TN 38464-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Clayton D can be contacted via phone (931) 762-0531.

Contact Information

Primary practice address
1009 N Locust Ave Suite 1 Lawrenceburg TN 38464-2706
Fax: (931) 762-0998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19654 Tennessee

Profile Details

NPI number 1144312372
LBN Legal business name Wilson, Clayton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Apr 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144312372 NPPES
Tennessee MEDICAID PENDING

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