Individual
BARBARA B. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5115
(434) 244-4504
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101031180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005932050
—
VA
Enumeration date
02/21/2007
Last updated
08/02/2021
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