| Darrel L Wilson P.c. | |
|
135 N Pauline St Fl 4-5 Memphis TN 38105-4619 | |
| (901) 830-6990 | |
| (901) 624-5044 |
| Full Name | Darrel L Wilson P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 135 N Pauline St Fl 4-5, Memphis, Tennessee |
| Authorized Official Name and Position | Darrel Lenard Wilson (PRESIDENT) |
| Authorized Official Contact | 9018306990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darrel L Wilson P.c. 7948 Winchester Rd Ste 109 Pmb 135 Memphis TN 38125-2310 Ph: (901) 830-6990 | Darrel L Wilson P.c. 135 N Pauline St Fl 4-5 Memphis TN 38105-4619 Ph: (901) 830-6990 |
| NPI Number | 1942507140 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942507140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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