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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HETTIE TABITHA WILSON, PA

Active

HETTIE TABITHA WILSON, PA is a Physician Assistant healthcare provider located in GERMANTOWN, Maryland. NPI 1467512608 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GERMANTOWN, MD

Registration Details

NPI Number
1467512608
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.488112580931 yrs)
Last Updated
Oct 11, 2013
License
PA0365 (TX)

Practice Information

Address
20010 CENTURY BLVD
SUITE 200
GERMANTOWN, MD, 208741115
Browse MD providers · Browse ZIP 20874
Phone
2406862300
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GERMANTOWN, MD

Name Credential NPI
MR. THOMAS GLEN HETTICH PA-C 1992765747
MIKHAIL V DOMNINE PA 1659453454
ELISABETH SUZANNE STEPHENS PA-C 1588719678
MRS. AUDREY G. WEITZMAN P.A. 1457499717
PADMA GAINEDI PA 1407043748
MRS. TRACIE LYNN VOCK PA-C 1063650703
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.