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Marilyn P Wilson, PAC
Medical Physician Assistant in Gray, Louisiana
NPI 1932179603

Marilyn P Wilson is a Medical Physician Assistant based in Gray, LA and is specialized in Medical. Marilyn P Wilson practices in Gray, LA and has the professional credentials of PAC. The NPI Number for Marilyn P Wilson is 1932179603 and holds a License No. A10525 (Louisiana).

The current practice location address for Marilyn P Wilson is 123 Frontage A Rd, Gray, LA and can be reached out via phone at 985-580-1200 and via fax at 985-580-1218.

Location: 123 Frontage A Rd, Gray, LA, 70359-6301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932179603
Provider Name
Marilyn P Wilson
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
123 Frontage A Rd, Gray, LA, 70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
123 Frontage A Rd
City
Gray
State
Louisiana
Zip
70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
person
Provider Business Mailing Address Details
Address
123 Frontage A Rd
City
Gray
State
Louisiana
Zip
70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
A10525 (Louisiana)
Definition
Definition to come...
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