Hettie Tabitha Wilson, PA
NPI #1467512608 in Germantown, Maryland
Provider Information
- NPI Number
- 1467512608
- Entity Type
- Individual
- Name
- Hettie Tabitha Wilson, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Oct 11, 2013
Practice Location
- Address
- 20010 CENTURY BLVD
- Address 2
- SUITE 200
- City
- Germantown
- State
- Maryland
- ZIP Code
- 20874-1115
- Phone
- (240) 686-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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