Tyrone Wilson

NPI #1003668559 in Columbus, Mississippi

Provider Information

NPI Number: 1003668559
Entity Type: Individual
Name: Tyrone Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 5, 2024
Last Updated: Apr 5, 2024

Practice Location

Address: 433 FORREST CT
City: Columbus
State: Mississippi
ZIP Code: 39702-5348
Phone: (662) 364-6854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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