Individual
WILSON PARRISH DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9140
(757) 793-4149
Mailing address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9140
(757) 793-4149
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101259100
VA
207T00000X
Neurological Surgery Physician
2011-01173
NC
Other
Enumeration date
12/22/2005
Last updated
10/10/2024
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