Individual provider · Type 1 NPI

Alicia Marie Wilson, DMSC, PA-C

Medical Physician Assistant · Glenville, WV

NPI number 1831616853 Active

Practice location

201 Fci Ln
Glenville, WV 26351-9500

Mailing address

3966 Jesse Run Rd
Jane Lew, WV 26378-8230

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

4 other providers at this address

About NPI 1831616853

Alicia Marie Wilson, DMSC, PA-C's National Provider Identifier is 1831616853, issued on Aug 30, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glenville, WV. The record was last updated on Sep 16, 2020.