NPI 1003668559

Tyrone Wilson

Practitioner Driver Columbus, MS

Practice location

Address: 433 Forrest CT, Columbus, MS 39702-5348
Phone: (662) 364-6854

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in Mississippi →

Registry record

NPI: 1003668559
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2024
Record last updated: 5 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.