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Contact Information

JAMES M WILSON, MD
JAMES QUILLEN MEDICAL CENTER
MOUTAIN HOME VA
JOHNSON CITY, TN37684
 Phone: 423-926-1171
 Fax: 423-979-3427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JAMES M WILSON · (Male)

NPI # 1962443226
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD0000009412
  • TN Medicaid 3172401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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