Individual
WILLIAM G. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
0101031066
VA
207SG0202X
Clinical Biochemical Genetics Physician
0101031066
VA
208000000X
Pediatrics Physician
0101031066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003985649
—
VA
Enumeration date
11/07/2006
Last updated
08/10/2023
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