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Sandra Wilson

NPI 1205990561 · on the registry since 2006

Practice

Address
1233 Southwest Ave
Johnson City, TN 37604
Phone
(423) 979-4594
Clinicians at this address
12

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee