Individual
CAROL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13168 MEADOWVIEW SQUARE, MEADOWVIEW, VA 24361-3328
(276) 944-3999
(276) 944-3882
Mailing address
PO BOX 729, SALTVILLE, VA 24370-0729
(276) 496-4492
(276) 496-4839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008264
—
TN
Enumeration date
02/01/2006
Last updated
10/23/2014
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