All Medicaid billing entities listing TAN, WILSON (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GETTYSBURG DIAGNOSTIC IMAGING, PC | GETTYSBURG, PA | Diagnostic Radiology Physician | $5K |