Individual
GEORGE CHARLES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 S LYNNHAVEN RD, SUITE 170, VIRGINIA BEACH, VA 23452-8505
(757) 962-1350
Mailing address
2901 S LYNNHAVEN RD, SUITE 170, VIRGINIA BEACH, VA 23452-8505
(757) 962-1350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101037202
VA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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