Organization
CHARLES V WILSON M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES VAN BUREN WILSON JR. MD (PRESIDENT)
(904) 215-3880
Entity
Organization
Contact information
Practice address
3525A US HIGHWAY 17, FLEMING ISLAND, FL 32003-7122
(904) 215-3880
(904) 215-3883
Mailing address
3525A US HIGHWAY 17, FLEMING ISLAND, FL 32003-7122
(904) 215-3880
(904) 215-3883
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
11/09/2009
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