Individual provider · Type 1 NPI
Joshua M. Wilson, DC
Chiropractor · Lake City, FL
NPI number
1194295592
Active
Practice location
444 SW Alachua Avenue
Lake City, FL 32025-5213
Fax (386) 719-5654
Mailing address
444 SW Alachua Ave
Lake City, FL 32025-5213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CHIR010131 (GA) |
| Chiropractor Primary | 111N00000X | CH12879 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1194295592
Joshua M. Wilson, DC's National Provider Identifier is 1194295592, issued on Nov 28, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake City, FL. The record was last updated on Aug 21, 2019.