Organization
MOUNTAINEER IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WILSON MD (PARTNER)
(304) 720-9729
Entity
Organization
Contact information
Practice address
60 R H L BLVD, CHARLESTON, WV 25309-8278
(304) 720-9729
Mailing address
60 R H L BLVD, CHARLESTON, WV 25309-8278
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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