Search › Mississippi › 171M00000X
Demecka Wilson
NPI 1114388568 · on the registry since 2016
Practice
- Address
- 1138 Puffer Rd
Fayette, MS 39069 - Phone
- (601) 472-2310
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi