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Individual

DR. JAMES A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4092 FOXWOOD DR, SUITE #101, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
(757) 422-1108
Mailing address
4092 FOXWOOD DR, SUITE #101, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
(757) 422-1108

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101230329
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5854822
VA
Enumeration date
05/12/2006
Last updated
09/30/2010
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