BRANDYE WILSON, P.A.
Physician Assistant
Active
Individual
NPI: 1215189618
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | PA362 (AR) |
| Physician Assistant | 363A00000X | Yes | PA00448 (MS) |
Frequently Asked Questions
NPI 1215189618 is the National Provider Identifier for BRANDYE WILSON, P.A., a Physician Assistant provider located in Southaven, MS. This NPI was enumerated on October 16, 2008.
BRANDYE WILSON, P.A. practices at 125 GOODMAN RD W STE D, Southaven, MS 38671.
Quick Facts
- NPI
- 1215189618
- Type
- Individual
- Enumerated
- Oct 16, 2008
- Last Updated
- Sep 28, 2020
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