# CARTERSVILLE FAMILY MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962460659
- **Authorized official:** DR. JO MYERS WILSON M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (804) 375-9180

## Contact information

- **Practice address:** 2294 CARTERSVILLE RD, CARTERSVILLE, VA 23027-9701
- **Practice address phone:** (804) 375-9180
- **Practice address fax:** (804) 375-9297
- **Mailing address:** 2294 CARTERSVILLE RD, CARTERSVILLE, VA 23027-9701
- **Mailing address phone:** (804) 375-9180
- **Mailing address fax:** (804) 375-9297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0024129303 | VA | Yes |
| 207Q00000X | Family Medicine Physician | 0101222830 | VA | — |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 08/22/2020