Wilson, Timothy Scott

Wilson, Timothy Scott is an individual health care provider with primary practice located at 9430 Parkwest Blvd Suite 240, Knoxville TN 37923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wilson, Timothy Scott can be contacted via phone (865) 694-9886.

Contact Information

Primary practice address
9430 Parkwest Blvd Suite 240 Knoxville TN 37923
Phone: (865) 694-9886
Fax: (865) 694-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD031223 Tennessee

Profile Details

NPI number 1063429124
LBN Legal business name Wilson, Timothy Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063429124 NPPES
Tennessee Other 3113404 BCBS OF TN
Tennessee MEDICAID 3718742 BCBS OF TN

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