Female

Tina Wilson M.D.

Infectious Disease Physician in Jackson, TN(View on Map)

Full Name

Tina Wilson M.D.

NPI Number

1376579854

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/25/2006

Specialties

(Taxonomies)

Code

207RI0200X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

53942

Contact
Information

Purpose

Mailing
Location

Address

1804 HIGHWAY 45 BYP STE 604
620 SKYLINE DR

City

Jackson
Jackson

State

TN
TN

Postal Code

38305-4403
38301

Country

US
US

Telephone Number

(731) 660-8781
(731) 541-6067

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2018

Provider Address

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