Individual provider · Type 1 NPI
Paul Kent Wilson, DPM
Foot & Ankle Surgery Podiatrist · Jonesborough, TN
NPI number
1912137217
Active
Practice location
110 Bermuda Dr
Jonesborough, TN 37659-3166
Fax (888) 645-7299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 732 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1912137217
Paul Kent Wilson, DPM's National Provider Identifier is 1912137217, issued on Jul 21, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jonesborough, TN. The record was last updated on Jun 9, 2023.