Charles Wilson


Address: 808 Buffalo St, Farmville, VA 23901-1112
Phone: 4343923375

Charles Wilson (NPI# 1154338382, PAC ID# 6305031360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1154338382
PAC ID by PECOS 6305031360
Professional Enrollment ID I20101116000694
Full Name Charles Wilson
Address 808 Buffalo St
Farmville
VA 23901-1112
Phone Number 4343923375
Gender M
Medical School MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490090 CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC

Other Locations

Address Phone Organization
808 Buffalo St, Farmville, VA 23901-1112 4343923375

Organization Information

Office Location

Street Address 808 BUFFALO ST
City FARMVILLE
State VA
Zip 23901-1112

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Competitor

Search similar physicians

City FARMVILLE
Zip Code 23901
Specialty OPHTHALMOLOGY
City + Specialty FARMVILLE + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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