Jim L Wilson, M.D.

NPI #1083690861 in Johnson City, Tennessee

Provider Information

NPI Number: 1083690861
Entity Type: Individual
Name: Jim L Wilson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Dec 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 917 W WALNUT ST
City: Johnson City
State: Tennessee
ZIP Code: 37604-6527
Phone: (423) 439-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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