Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTHA L WILSON, M.D.
ActiveDermatology · GALAX, VA
Registration Details
- NPI Number
- 1336271733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2007 (19.112510220653 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
0101230418 (VA)ME0042356 (FL)0101230418 (VA)0101230418 (VA)0101230418 (VA)
Practice Information
- Address
-
104 E STUART DRGALAX, VA, 243332119Browse VA providers · Browse ZIP 24333
- Phone
- 2762389902
- Fax
- 2762389907
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.