IndividualActive
James Wilson, M.D.
NPI 1326090739 · Neurology with Special Qualifications in Child Neurology Physician · Roanoke, VA
Provider details
- NPI number
- 1326090739
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101034644 (VA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 0101034644 (VA)
Allopathic & Osteopathic Physicians
Practice location
102 Highland Ave Se
Suite 104
Roanoke, VA 24013-2256
Phone: (540) 985-8454
Fax: (540) 985-8345
Approximate (ZIP-level) locationGet directions
Mailing address
8039 Vista Forest Dr
Roanoke, VA 24018-5707
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.