Wilson, Martha L
Wilson, Martha L is an individual health care provider with primary practice located at 104 E Stuart Dr , Galax VA 24333-2119. She 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 her primary health care specialty. Wilson, Martha L can be contacted 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 | 0101230418 | Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME0042356 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 0101230418 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 0101230418 | Virginia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0101230418 | Virginia |
Profile Details
| NPI number | 1336271733 |
|---|---|
| LBN Legal business name | Wilson, Martha L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336271733 | NPPES |
| Virginia | Other | 070017626 | RAILROAD MEDICARE |
| Virginia | Other | 463187 | RAILROAD MEDICARE |
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