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 3 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