Edwina C Wilson MD

NPI 1053313957 - Family Medicine - 207Q00000X

NPI Details
NPI 1053313957
Gender Female
Enumeration Date 08/11/2005
Last Updated 11/18/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
833 BUFFALO ST
SUITE 200
FARMVILLE VA, 23901-1111, US
Phone (434) 392-8177
Fax (434) 392-8272
Business Location
833 BUFFALO ST
SUITE 200
FARMVILLE VA, 23901-1111, US
Phone (434) 392-8177
Fax (434) 392-8272
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101045725
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According to our database, Dr. Edwina C Wilson MD NPI is 1053313957, taxonomy code is 207Q00000X and license number is 0101045725, license state is located at Virginia. Edwina C Wilson MD physically located at 833 Buffalo St, Farmville VA, 23901-1111. NPI Number Edwina C Wilson MD has the Individual type.

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1053313957 NPI number is provided on an as is basis without warranty of any kind. 1053313957 is maintained by the National Plan & Provider Enumeration System. The contents of Edwina C Wilson MD are for informational purposes only.