CANDACE WILSON

PINE BLUFF, AR
NPI1205456217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E-17243)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AR  E-17243)
Enumeration Date2020-04-20
Last Update Date2023-10-18
Business Address
CANDACE WILSON
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6000
Mailing Address
CANDACE WILSON
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6000