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Contact Information

WILLIAM A WILSON MD PC
9261 OLD KEENE MILL RD
BURKE, VA22015
 Phone: 703-451-9095
 Fax: 703-455-2239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WILLIAM A WILSON MD PC

NPI Number 1376727792
LBN Legal business name WILLIAM A WILSON MD PC
Authorized official WILLIAM WILSON - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2007
Last updated 12/20/2007 - About 18 years ago
Identifiers
FL License # 43184
IN License # 32011
VA License # VA0101037977
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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