Individual
DR. WILSON MERCHANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119
Mailing address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101 035383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007500921
—
VA
01
—
080230000-00
QUALCHOICE
VA
01
—
1900070
UNITED HEALTHCARE
VA
01
—
207
CARENET
VA
01
—
212761
CIGNA
VA
01
—
340009882
RAILROAD MEDICARE
VA
01
—
35757
ALLIANCE
VA
01
—
4063601
AETNA PPO
VA
01
—
414884791
TRICARE
VA
01
—
45728
SENTARA FAMILY CARE
VA
01
—
59337
SOUTHERN HEALTH
VA
01
—
790529
AETNA HMO
VA
01
—
C04008
MEDICARE GROUP #
VA
01
—
CA4542
RAILROAD MEDICARE GROUP #
VA
Enumeration date
04/18/2006
Last updated
10/28/2020
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