Wilson, Garland A

Wilson, Garland A is an individual health care provider with primary practice located at 100 Lantana Rd Suite 202, Crossville TN 38555-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Garland A can be contacted via phone (931) 484-5141.

Contact Information

Primary practice address
100 Lantana Rd Suite 202 Crossville TN 38555-1903
Fax: (931) 484-5141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD36129 Tennessee

Profile Details

NPI number 1316958747
LBN Legal business name Wilson, Garland A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 28th, 2012 - 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 1316958747 NPPES
Tennessee Other 1689631137 GROUP NPI
Tennessee MEDICAID 3876794 GROUP NPI
Tennessee Other 4066103 GROUP NPI
Tennessee Other P00019568 GROUP NPI
Tennessee Other 3373352 GROUP NPI
Tennessee Other 3373352 GROUP NPI

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