Organization
CARTERSVILLE FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO MYERS WILSON M.D. (OWNER/PRESIDENT)
(804) 375-9180
Entity
Organization
Contact information
Practice address
2294 CARTERSVILLE RD, CARTERSVILLE, VA 23027-9701
(804) 375-9180
(804) 375-9297
Mailing address
2294 CARTERSVILLE RD, CARTERSVILLE, VA 23027-9701
(804) 375-9180
(804) 375-9297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024129303
VA
207Q00000X
Family Medicine Physician
0101222830
VA
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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