Wilson, Fred Palmer

Wilson, Fred Palmer is an individual health care provider with primary practice located at 7140 Stage Rd Suite 106, Bartlett TN 38133-8955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, Fred Palmer can be contacted via phone (901) 377-6120.

Contact Information

Primary practice address
7140 Stage Rd Suite 106 Bartlett TN 38133-8955
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21882 Tennessee

Profile Details

NPI number 1487627394
LBN Legal business name Wilson, Fred Palmer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 19th, 2009 - about 16 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 1487627394 NPPES
Tennessee MEDICAID 3064418

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