Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARILYN P WILSON, PAC
ActiveMARILYN P WILSON, PAC is a Medical Physician Assistant healthcare provider located in GRAY, Louisiana. NPI 1932179603 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GRAY, LA
Registration Details
- NPI Number
- 1932179603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2006 (20.519810463273 yrs)
- Last Updated
- Jul 26, 2007
- License
-
A10525 (LA)
Practice Information
- Address
-
123 FRONTAGE A RDGRAY, LA, 703596301Browse LA providers · Browse ZIP 70359
- Phone
- 9855801200
- Fax
- 9855801218
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.