ANDREW STEVEN WILT

JOHNSON CITY, TN
NPI1902168537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TN  52834)
Additional Taxonomies208000000X Pediatrics
(Licence: SC  LL34830)
Enumeration Date2012-06-11
Last Update Date2024-01-29
Business Address
ANDREW STEVEN WILT M.D.
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-4847
Mailing Address
ANDREW STEVEN WILT M.D.
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: 423-433-6039