Individual
DR. MARTHA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 E STUART DR, GALAX, VA 24333-2119
(276) 238-9902
(276) 238-9907
Mailing address
104 E STUART DR, GALAX, VA 24333-2119
(276) 238-9902
(276) 238-9907
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101230418
VA
207N00000X
Dermatology Physician
ME0042356
FL
207ND0101X
MOHS-Micrographic Surgery Physician
0101230418
VA
207NP0225X
Pediatric Dermatology Physician
0101230418
VA
207NS0135X
Procedural Dermatology Physician
0101230418
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017626
RAILROAD MEDICARE
VA
01
—
463187
ANTHEM BCBS (TRIGON)
VA
Enumeration date
03/12/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us