| NPI | 1457645095 |
|---|---|
| Former Legal Business Name | WILSON PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | PATRICK C WILSON M.D./Owner 256-551-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 30774) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2022-04-11 |