Virginia Wilson in Fayetteville - Family

Virginia Wilson - NPI 1629262936

Virginia Wilson is a Family in Fayetteville, Georgia. Virginia Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Virginia Wilson is 1629262936. The last update date is 2015-04-06.

Virginia Wilson's current location address is 480 Glynn St N, Fayetteville, Georgia. You can contact this provider via phone number 8663892727 and fax number 4016529787. The mailing address for Virginia Wilson is 480 Glynn St N, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Virginia Wilson
Address 480 Glynn St N, Fayetteville, Georgia
Phone Number 8663892727
Fax Number 4016529787
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1629262936
Provider Enumeration Date 2007-08-29
Last Updated Date 2015-04-06

Provider Mailing Address Detail

Address 480 Glynn St N
City Fayetteville
State Georgia (GA)
Post Code 302141192
Phone Number 8663892727
Fax Number 4016529787

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN065217 NP
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Virginia Wilson

What is the unique 10-digit identification code assigned to Virginia Wilson by the Centers for Medicare & Medicaid Services?

The Virginia Wilson has been issued the NPI (National Provider Identifier) 1629262936, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Virginia Wilson is located?

The Virginia Wilson is situated at the following address: 480 Glynn St N, Fayetteville, GA, 302141192.

What is Virginia Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Virginia Wilson is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Virginia Wilson receive the assignment of its 1629262936 from the Centers for Medicare & Medicaid Services?

The Virginia Wilson was issued its 1629262936 by the Centers for Medicare & Medicaid Services on 2007-08-29.

When was the information related to Virginia Wilson most recently updated or refreshed?

The details pertaining to the Virginia Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-06.

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