Individual provider · Type 1 NPI

Charles Henry Wilson Iv, MD

Sports Medicine (Orthopaedic Surgery) Physician · Mobile, AL

NPI number 1053472712 Active

Practice location

6144 Airport Blvd
Mobile, AL 36608

Fax (251) 450-2770

Mailing address

PO Box 86144
Mobile, AL 36689-6144

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XME84712 (FL)
Orthopaedic Surgery Physician 207X00000X28933 (AL)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X28933 (AL)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X28933 (AL)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1053472712

Charles Henry Wilson Iv, MD's National Provider Identifier is 1053472712, issued on Dec 13, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Mobile, AL. The record was last updated on Feb 9, 2012.