Individual
DR. TIMOTHY R WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4118C FRANKLIN RD SW, ROANOKE, VA 24014-5266
(540) 488-2557
Mailing address
4118C FRANKLIN RD SW, ROANOKE, VA 24014-5266
(540) 488-2557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556880
VA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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