DR. TIMOTHY SCOTT WILSON MD NPI 1063429124

NPI Information

DR. Timothy Scott Wilson, MD is a plastic and reconstructive surgery surgery in Knoxville, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Timothy Scott Wilson, MD NPI is 1063429124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9430 PARKWEST BLVD
SUITE 240
KNOXVILLE, TN
ZIP 37923
Phone: (865) 694-9886
Fax: (865) 694-5023

The NPI 1063429124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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