Doctor Name: | DONALD A WILSON |
NPI Number: | 1306815436 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MD18230 |
Business Practice Address: | 2863 Highway 45 Byp Jackson, TN - 383053618 |
Business Phone Number: | 7316608300 |
Business Fax Number: | 7316608301 |
Mailing Address: | Po Box 400, JACKSON |
State: | TN |
Postal Code: | 383020400 |
Phone Number: | 7314238697 |
Fax Number: | 7314225743 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD18230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |