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Joan Wilson, MD

Obstetrics & Gynecology in South Boston, VA. Individual provider (NPI-1).

NPI number1124097282
StatusActive
Last updated in NPPESFeb 17, 2022

Details

NPI
1124097282
Entity type
Individual (NPI-1)
Name
Joan Wilson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2006
Certification date
Feb 17, 2022
Last updated
Feb 17, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology0101034828VAYes

Practice location

2212 Wilborn Ave
South Boston, VA 24592-1630

Phone 434-572-8921 · Fax 434-572-2063

Mailing address

159 Executive Dr
Ste E
Danville, VA 24541-4160

Phone 434-572-8921 · Fax 434-572-2063

Other practice locations

2206 Wilborn Ave
South Boston, VA 24592-1630

Phone 434-517-8627 · Fax 434-517-8080

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology Physician providers in South Boston, VA

All 6 Obstetrics & Gynecology Physician providers in South Boston · All 440 providers in South Boston

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