Martha L Wilson Md Pa Pc
LBN: Martha L Wilson Md Pa
Martha L Wilson Md Pa Pc is an health care organization with primary practice located at 104 E Stuart Dr , Galax VA 24333-2119. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Martha L Wilson Md Pa can be contacted via phone (276) 238-9902, or through Wilson, Martha L via phone (276) 238-9902.
Contact Information
Primary practice address
104 E Stuart Dr
Galax VA 24333-2119
Phone: (276) 238-9902
Fax: (276) 238-9907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 49D1001134 | Virginia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 49D1001134 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1457483869 |
|---|---|
| LBN Legal business name | Martha L Wilson Md Pa |
| DBA Doing business as | Martha L Wilson Md Pa Pc |
| Authorized official | Wilson, Martha L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jun 7th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457483869 | NPPES |
| Virginia | Other | 49D1001134 | CLIA NUMBER |
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