Provider Demographics
NPI:1013127729
Name:ROBINSON, WILSON SCOUT JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILSON
Middle Name:SCOUT
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:616 W LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-3904
Mailing Address - Country:US
Mailing Address - Phone:658-273-0008
Mailing Address - Fax:865-895-4090
Practice Address - Street 1:616 W LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-3904
Practice Address - Country:US
Practice Address - Phone:865-273-0008
Practice Address - Fax:865-895-4090
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2025-02-17
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN44683207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics