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Contact Information

DAVID B WILSON, PA-C
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL32308
 Phone: 850-877-8174
 Fax: 850-877-5636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID B WILSON · (Male)

NPI # 1205003043
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/12/2008
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9106539
  • GA License # 5330
Hospital affiliation(s)
  • TALLAHASSEE MEMORIAL HEALTHCARE - (Acute Care)
    1300 MICCOSUKEE RD
    TALLAHASSEE, FL 32308
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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