Organization
WILLIAM A WILSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALLEN WILSON (PRESIDENT PHYSICIAN)
(703) 451-9095
Entity
Organization
Contact information
Practice address
9261 OLD KEENE MILL RD, BURKE, VA 22015
(703) 451-9095
(703) 455-2239
Mailing address
9261 OLD KEENE MILL RD, BURKE, VA 22015
(703) 451-9095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32011
IN
207R00000X
Internal Medicine Physician
43184
FL
207R00000X
Internal Medicine Physician
Primary
VA0101037977
VA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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