Wilson, D Douglas

Wilson, D Douglas is an individual health care provider with primary practice located at 1924 Alcoa Hwy , Knoxville TN 37920-6999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wilson, D Douglas can be contacted via phone (865) 544-9080.

Contact Information

Primary practice address
1924 Alcoa Hwy Knoxville TN 37920-6999
Phone: (865) 544-9080
Fax: (865) 544-6866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 08790 Tennessee

Profile Details

NPI number 1023077906
LBN Legal business name Wilson, D Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 18th, 2010 - about 14 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 1023077906 NPPES
Tennessee MEDICAID 3041932
Tennessee Other 220015565
Tennessee Other 0046502

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