Central Virginia Dermatology

NPI #1669497962 in Forest, Virginia

Provider Information

NPI Number: 1669497962
Entity Type: Organization
Organization Name: Central Virginia Dermatology
Primary Specialty: Dermatology
Enumeration Date: Jul 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2203 GRAVES MILL RD
Address 2: SUITE A
City: Forest
State: Virginia
ZIP Code: 24551-4296
Phone: (434) 385-1982

Authorized Official

Name: DR. DAVID COLEMAN WILSON, M.D.
Title: PRESIDENT
Phone: (434) 385-1982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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