Charles S Wilson, M.D. Valid NPI

Individual provider · Ophthalmology Physician · Farmville, VA

NPI

1154338382

Type

Individual (Type 1)

Primary specialty

Ophthalmology Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207W00000X

License number

0101031065 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-01

Last updated

2007-07-08