Individual
DR. VIRGINIA KELLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1701 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-6005
(910) 346-2345
(910) 346-1332
Mailing address
1701 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-6005
(910) 346-2345
(910) 346-1332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6616
NC
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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