| NPI | 1033757638 |
|---|---|
| Doing Business As | WILSON MEDICAL STAFFING |
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT WILSON Member/Manager 270-558-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2021-01-12 |