Provider Demographics
NPI:1427384270
Name:WILSON AND DOWLING PRIMARY CARE, PLLC
Entity Type:Organization
Organization Name:WILSON AND DOWLING PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:901-377-2974
Mailing Address - Street 1:7140 STAGE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8955
Mailing Address - Country:US
Mailing Address - Phone:901-377-2974
Mailing Address - Fax:901-377-2976
Practice Address - Street 1:7140 STAGE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8955
Practice Address - Country:US
Practice Address - Phone:901-377-2974
Practice Address - Fax:901-377-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty