JIM L WILSON M.D. - NPI 1083690861 - Family Medicine in Johnson City, TN

Q: What is Jim Wilson's NPI number?

The NPI number for Jim Wilson is 1083690861. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Jim Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jim Wilson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jim L Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM L WILSON M.D. (NPI 1083690861) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (26980) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1083690861

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJIM L WILSONCredential: M.D.

Location Address917 W WALNUT STJohnson City, TN 37604-6527

Mailing AddressP. O. Box 699Mountain Home, TN 37684

Phone(423) 439-6464

Fax(423) 439-7118

Sole ProprietorNo

Enumeration DateDecember 22, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083690861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 26980

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

917 W WALNUT ST, Johnson City, TN 37604

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