Organization
CENTRAL VIRGINIA DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COLEMAN WILSON M.D. (PRESIDENT)
(434) 385-1982
Entity
Organization
Contact information
Practice address
2203 GRAVES MILL RD, SUITE A, FOREST, VA 24551-4296
(434) 385-1982
(434) 385-1985
Mailing address
2203 GRAVES MILL RD, SUITE A, FOREST, VA 24551-4296
(434) 385-1982
(434) 385-1985
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101037565
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332282
ANTHEM
VA
Enumeration date
07/13/2006
Last updated
08/22/2020
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