Individual
DR. LINDA HIMOT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1161 LONG VIEW LANE, MONTEREY, VA 24465
(434) 249-6196
Mailing address
P.O.B 125, BLUE GRASS, VA 24413
(434) 249-6196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD009681E
PA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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