OrganizationWilliam A Wilson Md PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address9261 Old Keene Mill Rd, Burke, VA 22015(703) 451-9095PECOS EnrollmentBased on the most recent information from CMS, provider William A Wilson Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1376727792Provider TypeOrganizationFull NameWilliam A Wilson Md PcSubpartNoEnumeration Date12/20/2007Last Updated12/20/2007Contact InformationPractice LocationPractice Address9261 Old Keene Mill Rd, Burke, VA 22015Phone(703) 451-9095Fax(703) 455-2239Mailing LocationMailing Address9261 Old Keene Mill Rd, Burke, VA 22015Phone(703) 451-9095FaxUnlisted FaxAuthorized OfficialNameWilson, William Allen (President Physician)Phone(703) 451-9095Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseVA0101037977VirginiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense32011IndianaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense43184Florida