Individual
MS. MURIEL JUNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3600
Mailing address
5146 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1135
(304) 989-1256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
365
WV
Other
Enumeration date
06/16/2006
Last updated
08/11/2023
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