Individual provider · Type 1 NPI

Candace Elizabeth Wilson, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1053163410 Active

Practice location

1301 Primacy Pkwy
Memphis, TN 38119-0213

Call (901) 448-0230 Map

Fax (901) 448-0404

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053163410

Candace Elizabeth Wilson, MD's National Provider Identifier is 1053163410, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 1, 2024.