Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTHA L WILSON MD PA
Active OrganizationMARTHA L WILSON MD PA is a Dermatology organization located in GALAX, Virginia. NPI 1457483869 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GALAX, VA
Registration Details
- NPI Number
- 1457483869
- Provider Type
- Organization
- NPI Issued
- Mar 12, 2007 (19.455064953681 yrs)
- Last Updated
- Jun 7, 2010
- Licenses
-
49D1001134 (VA)49D1001134 (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
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.