Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK J WILSON, MD
ActiveAnatomic Pathology & Clinical Pathology · RICHMOND, VA
Registration Details
- NPI Number
- 1851378145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2005 (20.353516925909 yrs)
- Last Updated
- Jan 29, 2019
- Licenses
-
ME58840 (FL)58840 (FL)58840 (FL)304638 (LA)
Practice Information
- Address
-
5801 BREMO RDRICHMOND, VA, 232261907Browse VA providers · Browse ZIP 23226
- Phone
- 8042818100
- Fax
- 8042857419
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Hematology (Pathology)
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in RICHMOND, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN R HARBOUR | M.D. | 1871590109 |
| DR. CLIFTON LEE BRIDGES JR. | MD | 1194724856 |
| DR. GEORGEAN E. GRAHAM DEBLOIS | MD | 1588664197 |
| DR. CHRISTOPHER JAMES DONAHUE | MD | 1619977931 |
| DR. BEVERLY DIANE GATES | MD | 1255331575 |
| DR. MICHAEL JEFFREY KORNSTEIN | MD | 1518967728 |
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.