Wilson, James Marion

Wilson, James Marion is an individual health care provider with primary practice located at James Quillen Medical Center Moutain Home Va, Johnson City TN 37684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wilson, James Marion can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
James Quillen Medical Center Moutain Home Va Johnson City TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000009412 Tennessee

Profile Details

NPI number 1962443226
LBN Legal business name Wilson, James Marion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962443226 NPPES
Tennessee MEDICAID 3172401

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