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Robert Wilson, Dc, Pllc
Clinic/Center in Centerville, Tennessee
NPI 1366957656

Robert Wilson, Dc, Pllc is a Clinic/Center based in Centerville, TN. Robert Wilson, Dc, Pllc practices in Centerville, TN. The NPI Number for Robert Wilson, Dc, Pllc is 1366957656 and holds a License No. (Tennessee).

The current practice location address for Robert Wilson, Dc, Pllc is 132A N Central Ave, Centerville, TN and can be reached out via phone at 931-729-4001 and via fax at 931-729-4081. You can also correspond with Robert Wilson, Dc, Pllc through the mailing address at PO BOX 99, CENTERVILLE, TN - 37033-0099 (mailing address contact number: 931-729-4001).

Location: 132A N Central Ave, Centerville, TN, 37033-0099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366957656
Provider Name
Robert Wilson, Dc, Pllc
Credential
Provider Entity Type
Organization
Address
132A N Central Ave, Centerville, TN, 37033-0099
Phone Number
931-729-4001
Fax Number
931-729-4081
Provider Enumeration Date
12/07/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6128617 01 BLUE CROSS BLUE SHIED OF TENNESSEE
1144589458 01 NPPES - INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
132A N Central Ave
City
Centerville
State
Tennessee
Zip
37033
Phone Number
931-729-4001
Fax Number
931-729-4081
person
Provider Business Mailing Address Details
Address
132A N Central Ave
City
Centerville
State
Tennessee
Zip
37033
Phone Number
931-729-4001
Fax Number
931-729-4081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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