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NPI Code Detail

MEDICARE: MONET WILSON DC

MEDICARE:   MONET  WILSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2746AL

General Provider Information

NPI Number : 1962139444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONET WILSON DC
Provider Business Mailing Address
First Line : 1332 DUNBARTON RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-4403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7244 HALCYON PARK DR
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-7717
Country : US
Telephone Number : 334-676-2290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ MONET WILSON DC” Practice Location

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