Doctor Name: | WILLIAM G. WILSON |
NPI Number: | 1003985649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101031066 |
Business Practice Address: | Lee St Fl 1 Charlottesville, VA - 229080001 |
Business Phone Number: | 4349242665 |
Business Fax Number: | 4349823850 |
Mailing Address: | Po Box 9007, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229069007 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207SG0201X |
License Number: | 0101031066 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Medical Genetics |
Taxonomy Specialization: | Clinical Genetics (M.D.) |
Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |