| Robert Wilson, Dc, Pllc | |
|
132a N Central Ave Centerville TN 37033 | |
| (931) 729-4001 | |
| (931) 729-4081 |
| Full Name | Robert Wilson, Dc, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 132a N Central Ave, Centerville, Tennessee |
| Authorized Official Name and Position | Robert E Wilson (SOLE OWNER) |
| Authorized Official Contact | 9317294001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wilson, Dc, Pllc Po Box 99 Centerville TN 37033-0099 Ph: (931) 729-4001 | Robert Wilson, Dc, Pllc 132a N Central Ave Centerville TN 37033 Ph: (931) 729-4001 |
| NPI Number | 1366957656 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366957656 | NPI | - | NPPES |
| 6128617 | Other | BLUE CROSS BLUE SHIED OF TENNESSEE | |
| 1144589458 | Other | NPPES - INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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