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1376579854
TINA WILSON
JACKSON, TN
NPI
1376579854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: TN 53942)
Enumeration Date
2006-06-25
Last Update Date
2018-10-17
Business Address
TINA WILSON M.D.
620 SKYLINE DR
JACKSON, TN 38301
Phone number: 731-541-6067
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Mailing Address
TINA WILSON M.D.
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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