| NPI | 1376727792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALLEN WILSON President Physician 703-451-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA VA0101037977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 32011) |
| 207R00000X Internal Medicine (Licence: FL 43184) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |