Individual
DR. DAVID COLEMAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2203 GRAVES MILL RD, SUITE A, FOREST, VA 24551-4296
(434) 385-1982
(434) 385-1985
Mailing address
2203 GRAVES MILL RD, SUITE A, FOREST, VA 24551-4296
(434) 385-1982
(434) 385-1985
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101037565
VA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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